CN100446714C - Clip ejector for endoscopic clip applier - Google Patents

Clip ejector for endoscopic clip applier Download PDF

Info

Publication number
CN100446714C
CN100446714C CNB2005100766670A CN200510076667A CN100446714C CN 100446714 C CN100446714 C CN 100446714C CN B2005100766670 A CNB2005100766670 A CN B2005100766670A CN 200510076667 A CN200510076667 A CN 200510076667A CN 100446714 C CN100446714 C CN 100446714C
Authority
CN
China
Prior art keywords
jaw
anchor clamps
control member
coil
far
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CNB2005100766670A
Other languages
Chinese (zh)
Other versions
CN1714735A (en
Inventor
卡洛斯·里韦拉
凯文·W·史密斯
托马斯·O·贝尔斯
小罗伯特·西克托
朱厄盖恩·A·科滕巴赫
斯科特·阿普
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN1714735A publication Critical patent/CN1714735A/en
Application granted granted Critical
Publication of CN100446714C publication Critical patent/CN100446714C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2919Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2923Toothed members, e.g. rack and pinion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0803Counting the number of times an instrument is used
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/53Means to assemble or disassemble
    • Y10T29/53478Means to assemble or disassemble with magazine supply

Abstract

A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

Description

The clip ejector of endoscopic clip applier
The application is that " flexible surgical clip applier " by name, the series number of calendar year 2001 December submission on the 6th is No.10/010, " the flexible cover element that is used for surgical technique and tools " by name, the series number submitted in 906 U.S. Patent application and on March 25th, 2003 are No.10/396, the part continuation application of 962 U.S. Patent application, here with the full text of these two pieces of documents in conjunction with as a reference.The present invention relates to the applying date and the present invention is the U.S. Patent application of No. (agent docket is Docket#ISD-083) on the same day " surgical clip " (" Surgical Clip ") by name, series number, and whole disclosures of this application are here in conjunction with as a reference.
Technical field
The present invention relates to surgical instruments widely.Especially, the present invention relates to the soft endoscope apparatus that uses by endoscope.More particularly, the present invention relates to a kind of surgical clip applier, it is suitable for by endoscope's use and can be used for clamping and/or sewing up conduit, vascular and its hetero-organization, and fixing organization perhaps connects exotic organizationally.
Background technology
Surgical clip is generally used for clamping force is applied on conduit, vascular and its hetero-organization.In addition, surgical clip is being difficult to sew up or the fixed occasion of staple substitutes and sews up or staple is fixedly controlled aspect tissue hemorrhage particularly useful.
Surgical clip typically is applied to tissue by clip applier.It all is quite hard device that present available all surgery pilositys are penetrated clip applier, and it can arrive the surgical site that needs the dispensing anchor clamps by the port of the trocar or by incision extension.This device why be hard be because, in order to apply that required motive force moves to tissue with anchor clamps and the inflexible pushing member of requirement.
To a kind of clip applier of flexibility, particularly a kind ofly can have tangible demand by the flexible fixture applicator that insert in the endoscope chamber.The ability that applies anchor clamps by endoscope will allow that medical care problem is had various Minimally Invasive Surgery schemes, particularly those gastrointestinal problems.Yet, accepted theory is thought, anchor clamps is advanced organizationally or form the required transmit force of clamping organizationally and can not produce on the far-end of the flexible apparatus (for example endoscope apparatus or conduit) of being constructed the length that forms usually by tubular metal coil or polymer pipeline.
Usually, flexible endoscope apparatus (for example, the biopsy forceps device) comprises an outer tubular part, and it typically is made of tubular metal coil or polymer pipeline, gives aspect the power of this outer tubular part tensile stress relatively poor transmitting; One control member that can vertically move with respect to this tube-like piece; One is connected in the end effector of the far-end of tube-like piece and control member, thereby the relative motion of control member and tube-like piece causes the operation of end effector; And one handle, it moves control member with respect to handle.Such soft endoscope apparatus can be owing to several be restricted aspect the former thereby thrust size that produces.At first, the compression of Flexible Control member (impeller) can cause impeller crooked in the outside flexible shroud of this device.If use the relatively large flexible impeller of diameter so that it resists bending preferably, then this impeller can produce too big rigidity, so that do not allow its bending when its endoscopically apparatus bending.The second, make the bigger flexible impeller of diameter externally be subjected to bigger frictional force in the sheath, this has reduced to be sent to from handle the power of end effector.To make diameter less relatively if should the flexibility impeller, and then it can be twisted together, and this will cause almost not having power to be passed to the far-end manipulator.Kink problem especially in endoscopic instrument is because endoscope and its chamber can be extended along zigzag path.For most of flexible apparatus, particularly wire coil, when power was applied on the impeller, external jacket began elongation.This reduces or has eliminated the power and the relative motion of impeller.For the reason of these and other, mechanically apply big relatively far-end thrust, and applying of anchor clamps particularly, be the not available ability of soft endoscope instrument always.
In addition, it is important to make and desire to apply anchor clamps tissue thereon and be subjected to obvious compression.When jaw applies the clamping force of compress tissue, because the size of less relatively jaw assembly is difficult to the clamping force that reaches big.That is to say that this size will make at the pivot of jaw assembly relative shorter with the operating rod lever between each jaw tang, has limited the mechanical lever effect of jaw assembly.
What its of applicant all was combined as reference here discloses a kind of clip applier of flexibility in first to file 10/396,962, and it comprises the ratchet mechanism that is suitable for behind the configuration anchor clamps anchor clamps propeller being positioned known location.In addition, this clip applier comprises a soft shell, a series of anchor clamps of wherein can packing into.This soft shell can not extend when being subjected to pulling force.In addition, this jaw assembly is suitable for having higher relatively mechanical lever effect, and it had promoted the compression of tissue before applying anchor clamps.
Owing to disclose the development of clip applier in series number is 10/396,962 application, the applicant has been developed the soft endoscope clip applier after improving, as the application's theme.
Summary of the invention
Therefore, one object of the present invention is to provide a kind of soft endoscope clip applier.
Another purpose of the present invention is to provide a kind of soft endoscope clip applier that can distribute a plurality of anchor clamps.
Another object of the present invention is to provide a kind of soft endoscope clip applier, it has limited the size of the power on the jaw that can be applied to this device.
Another object of the present invention is to provide a kind of soft endoscope clip applier, it has limited the size of the power on the jaw that can be applied to this device when regulating owing to the relative variation on the tortuous external jacket length that causes in the path of endoscope.
A further object of the present invention is to provide a kind of soft endoscope clip applier, and it has two jaws, and these two jaws can be around different axle rotations to improve the mechanical dominance of jaw.
Another purpose of the present invention is to provide a kind of soft endoscope clip applier, its smooth motion by manual actuator anchor clamps of providing and delivering.
Another object of the present invention is to provide a kind of soft endoscope clip applier, it has the actuator of the anchor clamps of once accurately providing and delivering.
Another object of the present invention is to provide a kind of soft endoscope clip applier, and it uses single control cable to come the open and close jaw and makes their rotations around longitudinal axis.
Another purpose of the present invention is to provide a kind of soft endoscope clip applier with improved jaw.
Another object of the present invention is to provide a kind of soft endoscope clip applier, and it can prevent the penult anchor clamps of unexpectedly providing and delivering when it is removed after making this device apply last anchor clamps.
A further object of the invention is to provide a kind of soft endoscope clip applier, and it forms anchor clamps when the dispensing anchor clamps.
A further object of the present invention is to provide a kind of soft endoscope clip applier, and it has handle, and this handle is forming and applying the resistance that has substantial constant in the circulation of anchor clamps.
Another object of the present invention is to provide a kind of clip applier, and it has anchor clamps and forms jaw, and it is that the anchor clamps that applied indicate the fixation of tissue point that these anchor clamps form jaw.
A further object of the invention is to provide a kind of clip applier, and it has makes anchor clamps by the stable mechanism that advances and enter end effector of coil.
Another purpose of the present invention is to provide a kind of endoscopic clip applier, and it is emission anchor clamps when the jaw of closed applicator only.
Another object of the present invention is to provide a kind of endoscopic clip applier, and it can be once, promptly closed and open between the jaw and only launch anchor clamps.
A further object of the present invention is to provide a kind of endoscopic clip applier, and it remains the vision indication of the quantity of anchor clamps in the operator provides about applicator.
Another purpose of the present invention is to provide a kind of endoscopic clip applier, its shut-down operation after all anchor clamps have all been finished by dispensing.
Consistent with these purposes that will go through below, soft endoscope clip applier according to the present invention has long flexible coil (or pipe), and this coil has a near-end and a far-end.Here the term of Shi Yonging " near-end " is meant the end near the operator, and term " far-end " is meant the end near patient.Manual actuator is connected with the near-end of coil, and a pair of jaw is connected with the far-end of coil.The memorizer of anchor clamps is placed in the coil inside of contiguous jaw.The inside of jaw has formed at the chopping block that anchor clamps is used to make the anchor clamps bending when memorizer advances closed jaw.This manual actuator has three kinds of controllers: is used to open the action bars with closed jaw, is used for the knob of the longitudinal axis rotation jaw (and distal portions of coil) of coiling, and the crank of the anchor clamps that are used to provide and deliver.This action bars and knob are linked to each other with independent first control member, and this first control member extends to position near clip storage by coil.This crank is linked to each other with second control member, and this second control member extends on the position of adjacent gripper memorizer by coil always, and is formed with screw thread along its distal portions.
According to the preferred embodiment, action bars is connected on the force-limiting device, this force-limiting device prevents from too big power is put on the jaw when closed jaw.This force-limiting device is also to regulating effectively with respect to the relative change on the external jacket length of jaw control member.The mode of knob by splined is connected on first control member.This crank is connected on second control member by drive mechanism and energy storing device (for example flywheel).
First control member ends at the near-end of clip storage, and is connected with a jointer, and this jointer connects with a pair of traction cable.This traction cable extends in the both sides of clip storage, and each all connects with one of them jaw.
According to the present invention, this coil is at the local bifurcated of adjacent gripper memorizer, and these two parts of coil couple together by the rigid member with 4 holes, and one of them hole is formed with screw thread.Rigid member is arranged at the far-end of jointer, and first control member stretches in one of them hole of this rigid member.Like this, the rotation of first control member causes the rigid member rotation, and the rotation of rigid member has caused the distal portions of coil and jaw to rotate around longitudinal axis again.This helps correctly to locate jaw before the closed jaw of desiring to be vised of tissue.Two traction cables extend through two other hole on the rigid member, and the threaded portion of second control member can be by the engage threaded of screw thread and rigid member.Like this, when threaded control member was rotated, it was to distal translation.The far-end of threaded control member connects with the anchor clamps propeller.This anchor clamps propeller with in the adjacent gripper memorizer the mode of the anchor clamps of close near-end settle, described anchor clamps are placed one by one vertically.When making threaded control member to distal translation, clip storage is moved to far-end, to the last anchor clamps (at that of clip storage far-end) entered closed jaw and the bending of its end of causing by inside chopping block by jaw when being applied to tissue till.
To so arrange that promptly, the once rotation completely of crank makes allots anchor clamps in the transmission and the pitch of the screw thread on the threaded portion of second control member.This crank preferably is provided with the braking lock, and it must be engaged with the release crank, and it automatically stops the motion of crank after once rotating.
Further according to the present invention, jaw is identical unitary type (hermaphroditic) jaw, and its far-end at distal coil rotatably combines with the U-shaped folder on bias axis respectively.Each jaw has a distal tooth and a proximal tang.This tang and draught line wherein connect and are positioned at a side of longitudinal axis.The distal tooth of this jaw is positioned on the opposition side of longitudinal axis, and this has prevented the misalignment of its both sides when jaw is closed.
Clip storage is housed in " storehouse ", should " storehouse " connect with the U-shaped folder, and therefrom to proximal extension.This storehouse is inflexible basically linear structure, and it suitably makes anchor clamps keep coming into line, and allows they are released this storehouse reposefully, enters closed jaw.The distal portions in storehouse is provided with a pair of backstop that is subjected to bias voltage, makes applicator when it is removed after having used last anchor clamps, prevents to make the penult anchor clamps to shift out the storehouse.In an optional embodiment, this stop portion ground is made by tang, rather than is made by the storehouse.
According to a preferred embodiment of the invention, crank is positioned the both sides of manual actuator, to adapt to the use of the left hand and the right hand.Make a counting mechanism connect and indicate the quantity of remaining anchor clamps in the storehouse with crank.Braking lock can be engaged by action bars, thus when jaw is closed operating crank only.This crank also is provided with ratchet mechanism, thereby it can only be along a direction rotation.Enumerator also comprises a backstop, and it prevents that crank is rotated after all anchor clamps of having provided and delivered.
Other purposes of the present invention and advantage those skilled in the art can become apparent when reference is described in detail in conjunction with the accompanying drawings.
Description of drawings
Fig. 1 is the side view of taking apart according to the part of surgical clip applier of the present invention, shows action bars and is in jaw on the enable possition;
Fig. 2 is the perspective view that take apart the part of manual actuator, shows the action bars on the enable possition;
Fig. 3 is the longitudinal sectional view of manual actuator, shows the action bars that is on the enable possition;
Fig. 3 A is the view similar with Fig. 3, absorbs spring but show the power that is in compressive state;
Fig. 4 is the longitudinal sectional view of manual actuator, shows the action bars that is in the close position;
Fig. 4 A is the view similar with Fig. 4, shows the power that is in compressive state and absorbs spring;
Fig. 4 B is the sketch map of the first alternate power absorber arrangement;
Fig. 5 is the perspective view of manual actuator, shows crank;
Fig. 6 is the cutaway view that passes crank and lockup brake is carried out graphic extension;
Fig. 7 is the partial exploded view that disconnects, and demonstrates the far-end of coil, jaw and manual actuator;
Fig. 8 is the local transparent perspective view of disconnection of the part of the part in control member, jointer, rigid member, one of them traction cable, propeller, storehouse and anchor clamps;
Fig. 9 is the plane graph of rigid member;
Figure 10 is the plane graph of jointer;
Figure 11 is the perspective view of the partially transparent of the part of threaded control member, propeller, anchor clamps and the disconnection that one of them draws cable;
Figure 12 is angle of rake perspective view;
Figure 13 is the perspective view of the part excision of storehouse, U-shaped folder, jaw and anchor clamps in the dispensing structure;
Figure 14 is the perspective view in storehouse;
Figure 15 is the disconnection perspective view of the amplification of storehouse far-end, demonstrates the backstop that is subjected to bias voltage;
Figure 16 demonstrates U-shaped folder and part jaw, draws the plane graph of the disconnection of cable, storehouse and anchor clamps;
Figure 17 is the perspective view of the partially transparent of disconnection, demonstrates U-shaped folder and part jaw, traction cable, storehouse and anchor clamps;
Figure 18 is the perspective view of the disconnection in U-shaped folder, the jaw of opening and part draught line and storehouse;
Figure 19 is a distal end portion view of observing the jaw of opening;
Figure 20 is the side view of the disconnection of U-shaped folder, closed jaw and the anchor clamps that are applied in;
Figure 21 is the end perspective view in jaw, U-shaped folder and the storehouse of closure;
Figure 22 is the longitudinal sectional view that disconnects, and demonstrates the distal portions in jaw, U-shaped folder and the storehouse of the closure when not having anchor clamps;
Figure 23 is the view similar with Figure 22, but has 3 anchor clamps;
Figure 24 is the plane graph of jaw inside;
Figure 25 is the perspective view of jaw inside;
Figure 26 is the side view of U-shaped folder;
Figure 27 is the distal end view of U-shaped folder;
Figure 28 is the schematic side elevation that part is cut open, demonstrates an alternate embodiment of the threaded anchor clamps of " self-propelled " formula that connect with threaded control member;
Figure 28 a is the longitudinal sectional view of self-propelled anchor clamps;
Figure 28 b is the end view of anchor clamps shown in Figure 28 a;
Figure 29 is the perspective view of Shepard hook;
Figure 30 is the proximal end view of the preferred embodiment of manual actuator;
Figure 31 is the side view of the preferred embodiment of manual actuator;
Figure 32 is the decomposition diagram of the preferred embodiment of manual actuator;
Figure 33 is the view similar with Figure 31, has transparent crank so that ratchet mechanism is carried out graphic extension;
Figure 34 is the enlarged drawing of drive mechanism and counting gear;
Figure 35 is the view similar with Figure 34, has removed travelling gear, so that the connection between crank axle and the counting gear to be shown;
Figure 36 is the decomposition diagram of the preferred embodiment of manual actuator, shows to be locked by the braking that action bars engages;
Figure 37 is the enlarged drawing of locking mechanism shown in Figure 36;
Figure 38 is the perspective view of the exploded of manual actuator, and this manual actuator has an alternate embodiment of the power restraining spring assembly that uses the moving element of shuttle;
Figure 39 is the enlarged drawing of the disconnection of spring assembly shown in Figure 38;
Figure 40 is the perspective view that is used to form the negative and positive amplification partly of the moving element of shuttle;
Figure 41 is the view similar with Figure 38, shows an alternate embodiment of the force limiting device that is spring radial type action bars form;
Figure 42 is the perspective view of spring radial type action bars;
Figure 43 is the perspective view that is used to form the negative and positive amplification partly of the ball joint connection between control member and the spring radial type action bars;
Figure 44 is the view similar with Figure 20, but comprises an optional jaw embodiment; And
Figure 45 is the view similar with Figure 18, but comprises optional jaw embodiment shown in Figure 44.
The specific embodiment
Referring now to Fig. 1,, soft endoscope clip applier 10 according to the present invention has relatively long flexible coil (or pipe) 12, and this coil has near-end 14 and far-end 16.Here employed term " near-end " is meant the end near the operator, and term " far-end " is meant the end near patient.Manual actuator 18 connects with the near-end 14 of coil 12, and a pair of jaw 20 connects with the far-end 16 of coil 12.This coil preferably has the flatwise coil of the external jacket (not shown) that reduces friction.The present invention will be described in detail at each the main building block that begins from near-end towards far-end work.
Manual actuator
First embodiment of manual actuator is shown among Fig. 1-6.Currently preferred embodiments of manual actuator are shown among Figure 30-37, will be described in detail below.
Manual actuator 18 among Fig. 1-6 has 3 kinds of controllers: is used to open the action bars 22 with closed jaw 20, is used for the knob 24 of the longitudinal axis rotation jaw 20 (with the distal portions of coil 12) of coiling, and the crank 26 of the anchor clamps that are used to provide and deliver.Will recognize that manual actuator 18 has the common handgun shape identical with other endoscope's actuators.Finger grip 28 relatively is provided with the action bars 22 with thumb lever 30.Engage hook 32,34 on action bars and the finger grip allows to pin as illustrated in fig. 4 action bars.Those skilled in the art is further appreciated that the routine operation of clip applier 10 comprises: closed jaw (randomly being undertaken by pinning action bars 22); Chamber by endoscope is transported to surgical site with jaw 20; Open jaw as illustrated in fig. 1; Locate jaw 20 by the motion of coil 12 and the rotation of handle 24, thereby the tissue that will desire to be vised is placed between two jaws; Pin action bars 22 so that jaw is closed organizationally; Rotary crank 26 is to apply anchor clamps; And, afterwards jaw is unclamped from anchor clamps and tissue.
Get back to the detailed description of manual brake 18 now and continue with reference to figure 1-6, especially Fig. 3 is connected on single first control member 36 action bars 22 and handle 24.Action bars 22 can be connected on the control member 36 around axle 23 rotations and by force limiting mechanism 37.Force limiting mechanism comprises spring 38, near-end coupling 38a, force-limiting device lid 38b, power restriction medicated cap 38c, overload nut 38d, far-end coupling 38e and overload axle 38f.Overload axle 38f is connected with overload nut 38d and extends in spring 38, partly enters in the power restriction medicated cap 38c.
Action bars 22 is connected with the end of spring 38 by link gear 44, and this link gear is seen the most clearly in Fig. 2.Specifically, link gear 44 comprises U type member 44a, and this U type member 44a is assemblied on spring 38 and the related elements 38a-38f thereof.Pin 44b is connected to the near-end of U type member 44a on the slit 22a that is positioned at action bars 22 tops, and the second pin 44c is connected to the far-end of U type member 44a on the overload nut 38d.
Because the configuration that provided, action bars 22 makes link gear 44 move to near-end to the motion of finger grip 28, and this makes overload nut 38d move to near-end.This overload nut 38d promotes spring 38 again and moves to near-end.Spring 38 motive forces restriction medicated cap 38c, this power restriction medicated cap 38c is pressed against on the force-limiting device lid 38b, and this limiter lid 38b is pressed against again on the near-end coupling 38a.Because 38a is fixed on the control member 36 with the near-end coupling, so near-end coupling 38a causes control member 36 to move to near-end to near-end mobile.In after, make whole power limiter assembly 37 to near-end motion and to near-end pulling control member 36 effectively.
As shown in Figure 3A, if in any time of jaw period of contact, the predetermined power limit that tension force on the control member 36 surpasses spring 38 (for example, 17 pounds), then will overcome the elastic force of spring 38, thereby spring 38 will compress, and overload axle 38f and overload nut 38d will be away from far-end coupling 38e not mobile control member 36.Under the situation of this power overload, axle 38f is incorporated in the cavity 38c ' of power restriction medicated cap 38c.
Fig. 3 A shows the power restraining spring 38 that is in compression position at the jaw period of contact.This situation can control member 36 pulling is surpassed closed jaw required usually apart from the time take place (as, when jaw all is prevented from closure owing to it all the time around very thick or stone tissue, if perhaps the bending of coil tracks makes that coil significantly extends, control member 36 significantly shortens, increased the stroke of action bars 22 thus, shortened the required stroke of closed jaw).Spring 38 prevents that jaw, tissue and/or control member 36 from owing to overload is damaged, allowing action bars 22 fully to be actuated into locked position simultaneously.
After action bars 22 has moved to as shown in Figure 4 the position with the jaw closure, if excessive power is applied on the control member 36 (as, when the endoscopic path by bending is transported to surgical site with jaw), force limiting mechanism 37 also will be worked to prevent to damage control member 36.Especially, shown in Fig. 4 A, pull to the preset limit that far-end and the power on control cable 36 surpass spring 38 if will control cable after the closure at jaw, the near-end coupling 38a that is fixedly connected to so on the control member 36 will move to far-end relative to covering 38b and power restriction medicated cap 38c.This power restriction medicated cap will move to far-end again, and spring 38 is pressed against on the nut 38d, and this nut 38d is fixed because be connected on the action bars 22 that is lockable and goes up in position.
In another kind of situation, when decontroling action bars 22, spring 38 will loosen by link gear 44, make nut 38d move to far-end, up to it against far-end coupling 38e (this far-end coupling is connected on the control member 36).Nut 38d makes to the motion of far-end and is connected to far-end coupling 38e on the control member 36 to distal movement, thereby makes control member 36 to distal movement.
According to the preferred embodiment, when making action bars 22 move to latched position, spring always is in compressive state.
In order to allow control member 36 rotations, handle 24 is connected on the control member 36 by the spline 40 that is installed on the bearing 24a, and described bearing 24a is kept by clamper 24b.The near-end of control member 36 is bent to shepherd hook 36a, and it engages slidably with spline 40 on being connected to handle 24.Described shepherd is hooked in shown in Figure 29.The rotation of handle 24 makes control member 36 rotations thus.
It should be noted that in force limiting mechanism 37, far-end coupling 38e and near-end coupling 38a assemble in such a way, that is, allow to have the gap with the remainder of force limiting mechanism 37.Because the frictional force that is produced by the spring 38 of prestrain does not change into torsional resistance, so this gap makes rotation be easy to carry out.
Fig. 4 B shows first alternate embodiment of force limiting mechanism 137.At this, coil 112 disposes proximal sleeve 113.Manual actuator or handle 118 dispose depressed part 119, and the size of this depressed part 119 is configured to receive sleeve pipe 113, washer/spacer 115 and is positioned at above-mentioned compression spring 138 between the two.What it will be appreciated by those skilled in the art that is, if barrier has hindered the jaw adequate closure during closed jaw, the proximal force that then is applied on the control member 136 will be applied on U-shaped folder 182, coil 112 and the handle 118 of far-end.This handle will produce the opposite force that equates to washer/spacer 115 along distal direction.As a result, when the elastic force of compression spring 138 was excessive, the near-end of coil leaned against mobile sleeve pipe 113 on the spring 138.
Still with reference to figure 1-6, especially Fig. 4 is connected to crank 26 on the drive mechanism 46, and this drive mechanism 46 is connected with second control member 48.More particularly, drive mechanism 46 comprises the input spur gear 47 that is connected on the crank 26, is connected to the speedup spur gear 49 on this input spur gear, and is connected to the crown gear 50 on this speedup spur gear.This crown gear and pinion 52 engagements that are connected on the cylinder 54, this cylinder 54 has the keying inside with 48 engagements of second control member, and second control member 48 disposes shepherd hook 48a (equally as shown in figure 29) near its near-end or its near-end.Cylinder 54 is installed on two bearings 55,57 that kept by clamper 55a, 57a.Second control member 48 (describing in detail in conjunction with Fig. 8-11 as following) is carved with screw thread along its distal portions.The length that is appreciated that cylinder 54 from discussion subsequently is enough to make second control member 48 all to have been sent up to all anchor clamps to distal movement.According to this preferred embodiment, control member 48 is made by the 17-7PH stainless steel silk.
According to this preferred embodiment, energy storage flywheel 56 is connected on the cylinder 54.Alternative is that this flywheel and cylinder can be the single type molding part.Flywheel makes the operation of crank level and smooth, otherwise this crank needs to apply the power of increase in its rotary course, because when its rotation beginning, control member moves ahead anchor clamps, and when its rotation finished, control member formed anchor clamps (this will have more detailed introduction below) by anchor clamps are pressed against on the chopping block that is arranged in end effector.What those having ordinary skill in the art will appreciate that is that for more effective, flywheel preferably disposes the relatively large rotating mass that is used for energy storage.When the rotation of flywheel by crank rotates (rotation), consume certain quantity of energy, this energy has increased the kinetic energy (quality * speed) of flywheel.Part in these energy is lost owing to overcoming friction; Yet the part energy that is used for rotary flyweights is stored with the form of kinetic energy.Afterwards, can recover this energy by direct mechanical switch.In situation of the present invention, when at first making crank 26 rotation, control member 48 provides very little resistance (because anchor clamps are easy to move forward) and most of energy that will be applied on the crank is used to make flywheel 56 rotations.When the approaching end of rotation of crank, because control member 48 is present in the circulation end that makes anchor clamps bend to net shape, so form torsional resistances by control member 48.Aspect this, discharge the kinetic energy in the flywheel and crank circulation remainder is carried out easily.Preferably, according to the present invention, with flywheel 56 be chosen to make the power on the crank 26 of in the whole motion of the required crank 26 of the single anchor clamps of distribution, being applied to be basically uniformly (as, change being no more than 25%).
As being clear that in Fig. 5 and 6, crank 26 disposes braking lock 58, and this braking lock 58 must discharge before crank 26 can rotate and once pin crank 26 automatically after the rotation.Preferably, crank 26 also disposes the ratchet mechanism (not shown) that prevents that it from rotating backward.Further preferably, crank disposes the locking piece (not shown) that prevented its rotation before the jaw closure.Crank 26 can also dispose the motometer (not shown), and this motometer can be connected on the input spur gear, and calculates number of times that crank rotated and the number that shows the anchor clamps of having distributed thus.Described motometer can be used to also prevent that crank from all having divided at all anchor clamps distributes back rotation.It is desirable to, crank also disposes locking mechanism, and this locking mechanism prevents that crank from rotating twice under the situation that does not have the open and close jaw between twice rotation.
According to the embodiment shown in Fig. 5 and 6, crank 26 has the excircle 26b of a plurality of isolated circumferential finger grips 26a and an annular knurl.Crank handle 26c can randomly remove, thereby crank is rotated as handle.Braking lock 58 comprises the button 58a with flange 58b, the stop pin 58c with flange 58d and spring 58e.Stop pin 58c is arranged among the shoulder hole 58f and is biased into by spring 58e among the shoulder hole 26d of crank 26.When pressing button 58a, make stop pin 58c against spring 58e move and from the 26d of hole, come out, crank is freely rotated.
According to an one exemplary embodiment, when crank being revolved go around, drive mechanism makes second control member rotate 58.1875 to be changeed.When crank being revolved go around, the pitch of the screw thread on this control member causes this control member to advance 0.285 inch.For concrete anchor clamps length is selected gear and pitch.According to current preferred embodiment, only need to change crown gear (by increasing or reduce the number of teeth) and adapt to anchor clamps with different length.
Shown in Fig. 1-4 and 4a, the far-end of manual actuator 18 has a pair of vertical slot 15, and it can grasp the coil coupling (not shown) that is connected on the coil near-end.
Control member
With reference now to Fig. 7-10,, control member 36,48 passes the flexible coil 12 that is connected on manual actuator 18 far-ends and extends.According to the present invention, coil 12 has two parts: proximal part 12a and distal portions 12b, above-mentioned two parts interconnect by rigid member 60.Rigid member 60 is essentially cylindrical shape, has the mid portion 60-1 that its diameter and end 60-2,60-3 compare big.The size of end 60-2,60-3 is configured to be assemblied in the inside of coil 12a, 12b, and the size of mid portion 60-1 set for has and the essentially identical external diameter of the external diameter of coil 12a, 12b.Rigid member 60 has 4 hole 60a-60d.One of them hole 60d is formed with screw thread and engages with the threaded portion of second control member 48.Because rigid member 60 is fixed with respect to coil 12a, 12b, be understandable that when second control member 48 was rotated by crank 26, this threads engage made second control member 48 move (Fig. 2) by rigid member 60 to far-end.
Two other hole 60a in the rigid member 60 and 60b allow a pair of traction cable 62,64 to pass through, and this will be below referring to figs. 16 and 17 being described in more detail.The near-end of traction cable is connected on the jointer 66 with 4 hole 66a-66d.A traction cable connecting hole 66a, another root traction cable is connected on the 66b of hole.First control member 36 extends by hole 66c and is connected on the 66c of this hole, and threaded control member 48 freely passes through hole 66d.Like this, vertically moving of first control member 36 vertically moves traction cable 62,64.The part 36a that passes through jointer 66 extensions of control member 36 extends among the hole 60c of rigid member 60.The length of this part 36a is enough to engage with hole 60c in the whole moving range of control member 36.Like this, the rotation of control member 36 and handle 24 (Fig. 1) makes rigid member 60 rotate, the rotation of rigid member 60 makes the distal portions 12b rotation of coil 12, and the rotation of coil 12 distal portions causes jaw 20 and clip storage to center on the longitudinal axis rotation of coil.
See control member 36 and 48 two-chamber flexible shroud 68 protections by the proximal part 12a that is positioned at coil 12 as clear in Fig. 8.Sheath 68 reduces the friction of control member and coil inboard.Sheath 68 also prevents the crooked or kink of control member.Be also to be noted that preferably the whole outer surface along coil is provided with the antifriction sheath in order to reduce the friction between coil and its endoscope chamber of therefrom transmitting and to prevent that the endoscope chamber from avoiding damaging.
According to current preferred embodiment, two control members have less diameter with the increase pliability at its distal portions, and have bigger diameter to optimize commentaries on classics apart from transmitting at proximal part.
Pusher
With reference now to Figure 11-13,, the far-end of threaded control member 48 is connected on the anchor clamps pusher 70.As being clear that among Figure 12, pusher 70 is for having the collinear member that is roughly of off-axis hole 70a, and off-axis hole 70a and recess 70b intersect.A pair ofly curve inwardly and separate with far-end oral area 70e by shoulder 70f, 70g to the finger of remote extension 70c, 70d.As being clear that among Figure 11, the far-end of threaded control member 48 passes hole 70a extension and is connected on the cylinder 72 that is received in the recess 70b.Cylinder 72 can be crimped or be welded on the control member 48.Being connected of pusher and control member makes control member freely to rotate with respect to pusher.As being clear that in Figure 11, with the far-end 48b sharpening of control member 48, and the far-end of through hole 70a disposes tapered wall 70h.The drift angle of tapered wall 70h is greater than the drift angle of a 48b.According to the narration of front, those skilled in the art will appreciate that it moves to far-end, promotes pusher to far-end when making control member 48 rotations.Will also be appreciated that the control member 48 and the frictional engagement of pusher 70 are limited to the very zonule that a 48b engages with the summit of tapered wall 70h.
As in Figure 13, being clear that, anchor clamps pusher 70 be arranged in clip storage 76 the anchor clamps 74 of close near-end be adjacent to be provided with, described a plurality of anchor clamps are arranged on the near-end of jaw assembly 20 one by one vertically.When making control member 48 to distal translation, clip storage 76 is moved to far-end, anchor clamps 78 to the last (be positioned at memorizer far-end that) enter closed jaw and by being applied to tissue by complete its end of the inside chopping block of jaw.Figure 13 shows applying anchor clamps 78 back jaws and opens.
As being clear that among Figure 11, anchor clamps 74 (it is all the same with every other anchor clamps) have the near-end afterbody 74a that engages with oral area 70e and shoulder 70f, the 70g of pusher 70. Finger 70c and 70d restriction clip vertical move, and allow pusher to catch anchor clamps lightly, and this is easy at the assembly process loading fixture.The other details of these anchor clamps can be understood by the U. S. application of reading the series number No. (agent docket Docket ISD-083) that formerly introduces.
What it will be appreciated by those skilled in the art that is, can change the setting of screw thread and still obtains same or analogous result.For example, the screw thread control member that moves to far-end is not set, but screw thread can be arranged on the pusher, and make the threaded control member can not translation.In this set, the rotation of threaded control member makes pusher along the control member translation.The storehouse
As being clear that in Figure 13 and 16, clip storage 76 is concealed in the storehouse 80 of the distal portions 12b that is arranged in coil, the distal portions 12b next-door neighbour jaw assembly 20 of this coil.The details in storehouse 80 can be found out from Figure 14-17.Storehouse 80 generally includes a plurality of parallel sidewall 80a-801 and orthogonal paired to the finger of remote extension 80m, 80n with described sidewall.Each sidewall has the shim of a plurality of outside orientations, as 80c-1,80c-2,80c-3,80c-4.The interior side engagement of these distance pieces and coil and guarantee coil and the storehouse between distance, this distance is used to draw pass through (the seeing Figure 16) of cable 62,64.Outwards the formation of the distance piece of orientation causes occurring narrow strip, and as 80ab, 80bc, 80cd etc., these narrow strip have increased the elasticity in storehouse.Under the situation of upset endoscope, the elasticity of instrument far-end may be important.As being clear that among Figure 16, when being arranged in anchor clamps in the storehouse, anchor clamps and another anchor clamps against appearing in this narrow zone.Therefore, anchor clamps can be crooked in the butt zone.
As being clear that among Figure 15, each near-end brake 80m-2,80n-2 that outward extending partial distal lip 80m-1, a 80n-1 is all arranged and extend internally to the finger of remote extension 80m, 80n.Finger 80m, 80n help the storehouse with respect to U-shaped folder location.Partial distal lip is closed help storehouse as described below and U-shaped clamping connection, and the near-end brake prevents that penult anchor clamps as described below from undesirable motion taking place.Relative paired parallel fingers 80p and 80q are arranged on perpendicular in the planar separation plane of finger 80m, 80n.As being clear that among Figure 17, these fingers 80p and 80q engage from near-end axle collar 80r extension and with the U-shaped folder, and this will be discussed in more detail below.
According to current preferred embodiment, this storehouse is made by the folding rustless steel of the mold pressing of single-piece.
Different with the previous clip applier of applicant is will not to be linked at together so that they can be retracted by anchor clamps.All need not at any time any anchor clamps are retracted.
The jaw assembly
Figure 17-27 shows the details of jaw assembly 20, and this jaw assembly 20 comprises U-shaped folder 82 and a pair of jaw 84,86.Described jaw is the jaw of negative and positive interworking, that is, jaw is identical and is configured to mutual coupling.Each jaw all has proximal tang 84a, a 86a; A plurality of side tooth 84b, 86b, their half tooth distances that on the opposite side of jaw longitudinal axis, staggers mutually; Distal tooth 84c, a 86c and installing hole 84d, a 86d.Jaw is connected on the U-shaped folder by its installing hole.As being clear that among Figure 27, U-shaped folder 82 protruding 82a, the 82b with two off-axis, jaw just are installed on the described projection and pass through the rivet fix in position.The far-end of traction cable 62,64 is bent to<sigmoid curves and being connected on each tang 84a, 84b of jaw.Therefore be understandable that the traction cable makes jaw opening shown in Figure 18 and 19 to the athletic meeting of far-end, and the traction cable makes the closure of jaw shown in Figure 20 and 21 to the athletic meeting of near-end.The use of the projection of off-axis has increased the advantage of the mechanical aspects of jaw.The U-shaped folder also disposes a pair of brake 82e, 82f (can be clear that) in Figure 26, this brake 82e, 82f with engage and allow jaw off-axis deflection 45-60 degree when it is closed at lug 84a-1,86a-1 on the jaw tang, and allow excessively about 10 degree of rotation of jaw.This just allows closed jaw to pass the chamber of endoscope through crooked route.
As being clear that among Figure 19, the proximal tang of each jaw and distal tooth are positioned on the opposite side of jaw assembly longitudinal axis.This layout that is arranged as end effector provides stability.Especially, between jaw and U-shaped hook, exist a certain amount of gap, thereby jaw can be easy to open and close.This gap can allow jaw to shake in the U-shaped that the produces jaw misalignment probability level of pressing from both sides.In the embodiment shown, jaw is forced to move horizontally opposite to each other when they are closed, rather than away from each other.This is because the shaping chopping block acts on the contrary with the horizontal movement that is produced by the traction cable.
The inner surface of distal tooth forms chopping block, two tips that this chopping block makes anchor clamps shown in Figure 20 and 23 crooked approximately 90-180 °.Specifically, shown in Figure 19 and 21, distal tooth forms two crooked routes that are parallel to each other.This just allows two tips of anchor clamps to be bent to parallel semicircle.During the position of the tip puncture tissue of the some adjacent gripper of meeting when distal tooth, this distal tooth also plays the effect of fixation of tissue point indicator.
As from Figure 23, being clear that, after having applied (last) anchor clamps 78 of distal-most end, the adjacent anchor clamps of penult in other words 78a is remained in the storehouse 80 by brake 80m-2,80n-2, and the tip of anchor clamps 78a surrounds the afterbody of anchor clamps 78.When jaw was opened, the jaw assembly can be removed from last anchor clamps 78, and does not discharge penult anchor clamps 78a.As being clear that from Figure 18, when jaw was opened, the tip of penult anchor clamps 78a was by far-end fin 82c, the 82d protection of U-shaped folder 82.Yet, if the U-shaped folder is sized to difference, because the U-shaped folder is just stretched out at the tip of anchor clamps when it is discharged, so these fins 82c, 82d are unnecessary.The not shown fin of other figure (as Figure 26) of U-shaped folder.
As shown in figure 17, in order to decide the storehouse with respect to the U-shaped clamping, match with the U-shaped folder three positions in the storehouse.Far-end cooperates by obtaining with the antelabium 82e of U-shaped folder 82, partial distal lip 80m-1, the 80n-1 (being clearly shown that in Figure 22) that 82f engages.Near-end cooperates by finger 80p that engages with lateral notch or hole 82g, 82h and 80q acquisition.The 3rd cooperates by providing between the far-end that near-end axle collar 80r is clipped in U-shaped sandwich portion and coil.
Alternate embodiment is from the driving anchor clamps
With reference now to Figure 28-30,, shows the alternate embodiment of anchor clamps 301 and anchor clamps advancement mechanism.Except anchor clamps 301 have on its near-end the screwed hole 301a, these anchor clamps 301 have the structure substantially the same with above-mentioned anchor clamps.Figure 28 shows the anchor clamps 301-304 on a plurality of thread head 148a that are installed in rotatable control member 148 by screw thread.Except control member 148 with not installing with respect to the mode of coil or actuator translation, this control member 148 is identical with above-mentioned control member 48.Specifically, control member 148 is installed in the thrust collar 310 that is arranged in the thrust bearing 312, this thrust bearing 312 (not shown) between proximal coil and distal coil.When making control member 148 rotations, the anchor clamps 301-304 that can not rotate because of the storehouse (not shown) is owing to transmit by the storehouse with the control member threads engage.
Current preferred manual actuator
Figure 30-37 shows current preferred manual actuator 418.Add that with identical Reference numeral 400 represent the part identical with manual actuator shown in Fig. 1-6 18.Manual actuator 418 comprises action bars 422, knob 424 and crank 426.According to the first aspect of this embodiment, on the opposite side of actuator, dispose second crank 426 '.As in Figure 30 and 32, being clear that, " crank " 426 and 426 ' for annular knurl and unlike crank 26, crank handle is arranged.Similar with actuator 18, referring to Figure 31-33, actuator 418 disposes finger grip 428 and has the action bars 422 of thumb lever 430.Shown in figure 32, engage hook 432,434 allows action bars to be locked in make position releasedly.
As being clear that in Figure 32, polygon crank axle 500 is engaged by crank 426,426 ' by actuator 418 horizontal expansions and in the opposite end.Crank axle 500 is centered on by columnar structured 502,504 on the opposite side that is positioned at actuator 418.According to the second aspect of this embodiment, one of them columnar structured 504 disposes a plurality of ratchets 506, and as shown in figure 33, crank 426 ' has Zhou Bianzhu 508, and ratchet 510 is installed on this Zhou Bianzhu.What those having ordinary skill in the art will appreciate that is, in the illustrated embodiment, ratchet and pawl prevents that crank 426,426 ' backward, promptly clockwise rotate.
According to the third aspect of this embodiment, as being clear that in Figure 34 and 35, drive mechanism 446 is connected on the counting gear 512.In this embodiment, travelling gear is slightly different with layout in Fig. 1-6 illustrated embodiment.Specifically, as shown in figure 35, crank axle 500 is connected on the little hub gear 514 that meshes with counting gear 512.Crank axle also is connected on the input spur gear 447 that drives speedup spur gear 449, and it is upside-down mounting that this driving spur gear is compared with the gear 49 shown in Fig. 4.Spur gear 449 drives the crown gear 450 that is connected on the pinion 452.Pinion 452 is connected on the cylinder 454, and this cylinder 454 is connected on the flywheel 456 then.
Counting gear 512 disposes labelling 516 (preferably having in both sides) and salient rib 518.The main body of actuator 418 disposes at least one but two window 520,522 (seeing Figure 31-33,36 and 37) preferably, can observe the labelling 516 (once being) of counting gear by this window.The enumerator that illustrates is used for using together with the memorizer of 5 anchor clamps.When the storehouse was full of, the part between salient rib 518 and numeral " 4 " of enumerator can be seen by window.In order to regulate the space of salient rib, the quantity of the tooth on the counting gear is chosen to the hub gear revolves to go around the counting gear rotation is changeed less than 1/5 slightly.When the dispensing anchor clamps, counting gear turns clockwise, and writes down the quantity of residue anchor clamps.When residue " 0 " individual anchor clamps, " 0 " labelling can be seen by window.In addition, when in this position, the structure butt of salient rib 518 and actuator inboard is as the wall of butt window opening.This prevents that counting gear and crank from further moving ahead.Preferably, counting gear 512 disposes the indicator hole 524 that is used at the correct oriental toothed gear of assembly process.
What it will be appreciated by those skilled in the art that is to stop operating with the parts except that salient rib 518.For example, the screw thread on the control member 48 can be arranged to branch distributes last anchor clamps and just uses up.Selective is, a position configuration projection that can be on control member 48 in this position, stops by engaging rigid member 60 when in the end an anchor clamps branch distributes.Another alternative plan is, a pusher 70 is set, and this pusher engages after having launched last anchor clamps and pins on braking finger 80m, 80n.The purpose that stops is in order to prevent that pusher from entering jaw and indicating all anchor clamps to use up.
According to the fourth aspect of present embodiment and shown in Figure 36 and 37, crank braking lock 458 is engaged by action bars 422, thereby crank can only rotate when jaw is closed.Especially, aforesaid columnar structured 502 base plate disposes to raise and is the inclined-plane 526 of step 528.Crank 426 and/or crank axle 500 are connected on the leaf spring 530, and this leaf spring 530 begins radially outward to stretch out and end at the antelabium 532 that turns over from the axle of crank axle usually.Figure 36 and 37 shows the crank/crank axle that is in latched position, and leaf spring 530 and step 528 placed adjacent.If operating crank is distributed anchor clamps, can stop the rotation of crank by the leaf spring 530 that bumps against step 528.
Action bars 422 has tongue 534, and this tongue has the inclined-plane of raising 536 in its end.Oral area 538 leads to columnar structured 502 of contiguous step 528.With this tongue 534 be arranged to when make action bars 422 to make position move, during closed jaw, this tongue enters oral area 538.When tongue 534 enters oral area 538, the inclined-plane of raising 536 with on the antelabium 532 that turns over engage and leaf spring 530 lifted on the step 528.In this position, leaf spring and step no longer hinder the rotation of crank, and can distribute anchor clamps.The rotation of crank is moved down into leaf spring on the columnar structured base plate along inclined-plane 526, and here leaf spring can freely move a circle.Tongue 534 disposes a low groove 540, and this groove allows leaf spring 530 to pass through in its lower section when the once rotation of crank finishes, spring will this point once more with step 528 butts.Tongue 534 has enough elasticity, and when action bars 422 oppositely being moved open jaw with box lunch, groove 540 can be crossed the antelabium 532 that turns over.Like this, crank will just move a circle after the jaw closure, and will no longer move up to jaw open once more, closure then.
The alternate embodiment of power restraining spring
Figure 38-40 shows first alternate embodiment of the power restraining spring in the manual actuator 600, and this manual actuator is substantially the same with above-mentioned actuator in other respects.Actuator 600 has the thumb manipulation bar 602 that is connected with link gear 604.The distal engagement of the far-end of link gear 604 and spring 606.Packing ring 608 is arranged near the near-end of spring 606, the near-end setting of " shuttle " 610 contiguous packing rings 608 and abut against stop 611 on the link gear.Control member 612 extends through link gear 604, spring 606, packing ring 608 and is connected on the shuttle 610.Shuttle 610 is made up of two identical parts shown in Figure 40.Each parts 610 is roughly semi-cylindrical shaped, has pair of locking nut 610a, 610b and a pair of nut receiving slit 610c, 610d.The inside of parts 610 has eccentric cable engagement tongue 610e, and each end disposes axial half hole 610f, a 610g.Pass through foregoing description, it will be appreciated by those skilled in the art that, when controlling when forcing together between two parts that cable is placed on shuttle and with these two parts, the control cable will be bent to the S type by two tongue 610e, and shuttle will be fixed with respect to the control cable.
Based on aforesaid understanding, it will also be appreciated that, when make action bars 602 from open position (Figure 39) when make position shown in Figure 38 moves, link gear 604 moves spring 606 and packing ring 608 and lean against on the shuttle 610 to near-end, described shuttle will be controlled cable 612 and pull to near-end, up to control cable can not be pulled again or when on cable, applying predetermined tension force till.In this position, being further closed of action bars 602 continues to make link gear 604 and spring 606 to move to near-end.Yet because cable 612, packing ring 608 and shuttle 610 no longer move (perhaps because spring constant less than the tension force on the cable), spring 606 beginnings are in compression between link gear 604 and the packing ring 608 and keep by compression when pinning action bars.The amount of compression will depend on the degree of crook of controlling cable trails.According to current preferred embodiment, when making as shown in figure 38 pinning of action bars, always there is certain spring compression.When releasing operation bar 602, at first, link gear 604 can move to far-end with respect to packing ring and shuttle, and spring will be expanded.At last, the stop 611 on the link gear 604 will arrive shuttle 610 and promote this shuttle to far-end, and control cable 612 is moved to far-end.
What it will be appreciated by those skilled in the art that is that the function of packing ring 608 provides the reliable blockage between spring 606 and the shuttle 610.A kind of method that reliable blockage is provided is to become " e " shape to come the partly end of closing spring 606 by the end bent with spring 606.Selective is can be flattened, broaden in the end of spring wire, so that stop described shuttle.What it will be appreciated by those skilled in the art that is, make action bars when make position discharges, directly promote described shuttle (and promoting cable 612 thus) in order to replace on link gear 604, disposing the stop 611 that is used for shuttle 610, action bars 602 can be arranged in to far-end.
Figure 41-43 shows second alternate embodiment of the power restraining spring of manual actuator 700, and this manual actuator is basic identical with above-mentioned actuator in other respects.Actuator 700 has thumb manipulation bar 702, and this thumb manipulation bar is by forming by torsionspring 706 interconnective two parts 702a, 702b.As clearly shown in Figure 42, the top 702b of action bars 702 has one and is used to receive pod 702c and two isolated shank 702d, the 702e that are connected to ball 710 (not shown) of control on the cable.The bottom 702a of action bars has a finger 702f on extending between two shank 702d, the 702e.Torsionspring 706 is installed on the pivot 703 that extends through finger 702f and shank 702d, 702e.The back 706a of spring and the backside bonded of finger 702f, and the anterior 706b of spring engages with the top 702b of action bars.Described ball is made up of shown in Figure 43 two identical parts.These parts are generally hemispherical, and still the similar part with previously described shuttle is that it has pair of locking nut 710a, 710b and a pair of nut receiving slit 710c, 710d.The inside of parts 710 has eccentric cable engagement tongue 710e, and a pair of radially relative half hole 710f, 710g and tongue 710e dispose coaxially.By above description, what it will be appreciated by those skilled in the art that is, when controlling when forcing together between two parts that cable is placed on described ball and with these two parts, the control cable will be bent to S shape by two tongue 710e, and described ball will be fixed with respect to the control cable.
Based on aforesaid understanding, be understandable that, when make action bars 702 from open position when make position shown in Figure 41 moves, the top 702b of action bars and control cable (not shown) are moved to near-end, when the control cable can not further be spurred till.In this position, it is static that the top 702b of this action bars keeps.Yet, in order to reach the lever position of complete closure, action bars bottom 702a can continue around pivot 703 rotations and finger 702f is applied to power on the back 706a of spring 706, and the anterior 706b of spring is stretched away from spring back 706a and action bars top 702b.When action bars the most at last when its complete make position discharges, at first, the power that finger 702f is acted on the spring discharges, and ball 710 and cable do not move.At last, when the anterior 706b of spring touches action bars top 702b, whole operation bar, ball 710 and control cable are moved to far-end.
The clip ejector of prestrain
In current preferred embodiment, give distal portions (the being distal coil 12b in the case) prestrain of flexible coil at least, so that enough columnar stiffness to be provided.When jaw 84,86 closures, traction cable (one or more) increases load between U-shaped folder and nut.After anchor clamps have disposed, the traction cable is driven to open jaw to far-end.The power and if necessary of the anchor clamps string of compression come from the preload that the power of drawing cable is enough to overcome distal coil, thereby jaw and U-shaped clip back moves from the tip of anchor clamps, and should the tip back pressure on the shaping chopping block of anchor clamps.A selective embodiment of this conception of species is the slotted hole on the projection that is provided for being installed to the U-shaped folder on the anchor clamps.When anchor clamps were closed, the traction cable made jaw move to near-end with respect to the U-shaped folder.Cable is disengaged tensioning and when far-end drove, jaw also can move with the compressive load of release action on the anchor clamps tip to far-end with respect to the U-shaped folder when drawing.
According to a selective embodiment, to distal coil 12b prestrain with to the far-end springing.When jaw 84,86 closures, traction cable (one or more) 62 pulling distal coils overcome its preload ground and shorten distal coil.After the anchor clamps distribution, anchor clamps are opened.When anchor clamps were opened, the preload on the distal coil made U-shaped folder 82, jaw 84,86 and storehouse 80 all move a segment distance a little to far-end.Simultaneously, because freely be provided with in the storehouse of anchor clamps on moving to it, so anchor clamps do not move.This effect has far-end chopping block on the jaw and the most advanced and sophisticated isolating effect on the forming jig, makes opening of jaw be easy to carry out thus.
The coil that is preloaded as of distal coil provides enough columnar strength to allow the tangent line interlock, prevents in the distortion of jaw period of contact, and provides counteracting force to come overcome friction when jaw is opened.
Alternate jaw embodiment
Figure 44 and 45 shows an alternate embodiment of jaw 184,186, and this jaw 184,186 is basic identical with jaw 84,86 except their installing hole 184d, 186d.In this embodiment, installing hole 184d, 186d are not circular.They are oblate or " slot ".This allows jaw to slide to far-end and near-end when it is opened or be closed.Therefore, when jaw is closed as shown in figure 44, jaw is spurred to near-end.On this position, anchor clamps are transmitted in the closed jaw, this jaw is as aforesaid formation chopping block.When jaw was opened as shown in figure 45, jaw slided to far-end away from the anchor clamps that form, and far-end chopping block on the jaw and tip on the forming jig are separated, and made opening of jaw be easy to carry out thus.
In this description with show several embodiment of soft endoscope clip applier.Although described specific embodiments of the invention, do not plan the present invention is limited to this, because seek out protection domain bigger in the scope of this area and similarly read description.Therefore,, be understandable that this blank can be circular or other shape of cross section although coil of the present invention is described as being formed by flat blank.In addition,, be understandable that, also can use other material although be preferred when concrete material being described as making the different parts of the present invention.In addition, although described among the present invention use a kind of when providing the gear arrangement of specific revolution for the cable control member that is used to anchor clamps are moved ahead, but be understandable that, can use the arrangement of gears of other the identical or different revolution that the cable control member is provided.In addition, although the present invention discloses two kinds of different end effectors simultaneously, i.e. jaw and anchor clamps pusher, however miscellaneous part of the present invention can with different uses of end effector.Therefore, what it will be appreciated by those skilled in the art that is to carry out other improvement and not break away from the spirit and scope of the present invention of asking for protection the present invention.

Claims (8)

1. endoscopic clip applier, it comprises:
Flexible coil with near-end and far-end;
Be connected in a pair of jaw of the far-end of described flexible coil;
Be connected in the manual actuator of the described near-end of described flexible coil;
At least one anchor clamps of contiguous described jaw storage;
Be positioned on the described anchor clamps described anchor clamps are pushed the anchor clamps allotter of described jaw;
At least one control member, this control member are connected on described manual actuator, described jaw and the described anchor clamps allotter, thereby described manual actuator can be operated to open and the closed described jaw and the anchor clamps of providing and delivering; And
Be used for when described anchor clamps are pushed into described jaw and open described jaw, moving described jaw and make its parts away from described anchor clamps to far-end.
2. clip applier as claimed in claim 1 is characterized by: described jaw is connected with the described far-end of described flexible coil by the slotted hole on it, wherein:
The described parts that are used for mobile described jaw comprise described slotted hole.
3. clip applier as claimed in claim 1 is characterized by:
The described parts that are used for mobile described jaw comprise the prestrain part of described flexible coil, and it is compressed when described jaw is closed, and launch to far-end when opening jaw.
4. clip applier as claimed in claim 3 is characterized by:
The distal portions of described at least flexible coil is prestrain.
5. clip applier as claimed in claim 3 is characterized by: described flexible coil comprises proximal coil and the distal coil that is connected to each other together, and at least a portion of described distal coil is prestrain.
6. clip applier as claimed in claim 5 is characterized by: whole basically described distal coil is prestrain.
7. clip applier as claimed in claim 5 is characterized by: whole described distal coil is prestrain.
8. clip applier as claimed in claim 3 is characterized by: described prestrain partly has enhanced rigidity when it is compressed.
CNB2005100766670A 2004-06-14 2005-06-13 Clip ejector for endoscopic clip applier Active CN100446714C (en)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US10/867,413 2004-06-14
US10/867,502 US20050277956A1 (en) 2004-06-14 2004-06-14 Clip storage for endoscopic clip applier
US10/867,411 US7331968B2 (en) 2004-06-14 2004-06-14 Endoscopic clip applier with threaded clip
US10/867,498 US8211119B2 (en) 2004-06-14 2004-06-14 Endoscopic surgical instrument having a rotational actuator
US10/867,501 US20050090837A1 (en) 2003-03-25 2004-06-14 Endoscopic surgical instrument having a force limiting actuator
US10/867,483 US7223272B2 (en) 2004-06-14 2004-06-14 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes
US10/867,395 US7367939B2 (en) 2004-06-14 2004-06-14 Rotational, translational and torqueing control members for an endoscopic instrument
US10/867,413 US7357806B2 (en) 2001-12-06 2004-06-14 Clip ejector for endoscopic clip applier

Publications (2)

Publication Number Publication Date
CN1714735A CN1714735A (en) 2006-01-04
CN100446714C true CN100446714C (en) 2008-12-31

Family

ID=63787634

Family Applications (7)

Application Number Title Priority Date Filing Date
CNB2005100766670A Active CN100446714C (en) 2004-06-14 2005-06-13 Clip ejector for endoscopic clip applier
CNB2005100766685A Active CN100475122C (en) 2004-06-14 2005-06-13 Rotational, translational and torqueing control members for an endoscopic instrument
CN2005100771221A Active CN1720870B (en) 2004-06-14 2005-06-14 Clip storage for endoscope and the endoscopic clip applier
CNB2005100771151A Active CN100450447C (en) 2004-06-14 2005-06-14 Endoscopic clip applier with threaded clip
CNB200510077119XA Active CN100515313C (en) 2004-06-14 2005-06-14 Endoscopic surgical instrument having a force limiting actuator
CNB2005100771202A Active CN100475159C (en) 2004-06-14 2005-06-14 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes
CN200510077116A Active CN100591288C (en) 2004-06-14 2005-06-14 Endoscope jig releaser

Family Applications After (6)

Application Number Title Priority Date Filing Date
CNB2005100766685A Active CN100475122C (en) 2004-06-14 2005-06-13 Rotational, translational and torqueing control members for an endoscopic instrument
CN2005100771221A Active CN1720870B (en) 2004-06-14 2005-06-14 Clip storage for endoscope and the endoscopic clip applier
CNB2005100771151A Active CN100450447C (en) 2004-06-14 2005-06-14 Endoscopic clip applier with threaded clip
CNB200510077119XA Active CN100515313C (en) 2004-06-14 2005-06-14 Endoscopic surgical instrument having a force limiting actuator
CNB2005100771202A Active CN100475159C (en) 2004-06-14 2005-06-14 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes
CN200510077116A Active CN100591288C (en) 2004-06-14 2005-06-14 Endoscope jig releaser

Country Status (8)

Country Link
US (10) US7331968B2 (en)
EP (8) EP1607055B1 (en)
JP (7) JP4749773B2 (en)
CN (7) CN100446714C (en)
AU (7) AU2005202124B2 (en)
CA (7) CA2508865C (en)
DE (6) DE602005018990D1 (en)
HK (4) HK1081834A1 (en)

Families Citing this family (832)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7422584B2 (en) * 2002-07-05 2008-09-09 Broncus Technologies, Inc. Extrapleural airway device and method
WO2001066018A1 (en) * 2000-03-03 2001-09-13 C. R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
ES2435094T3 (en) 2000-05-19 2013-12-18 C.R. Bard, Inc. Device and method of tissue capture and suturing
US7608578B2 (en) * 2000-08-11 2009-10-27 Temple University - Of The Commonwealth System Of Higher Education Obesity controlling method
US7737109B2 (en) * 2000-08-11 2010-06-15 Temple University Of The Commonwealth System Of Higher Education Obesity controlling method
US7331968B2 (en) * 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
ES2616695T3 (en) 2003-03-11 2017-06-14 Covidien Lp Staple application device with inclined jaw
MXPA05012303A (en) 2003-05-16 2006-02-22 Bard Inc C R Single intubation, multi-stitch endoscopic suturing system.
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US8469993B2 (en) * 2003-06-18 2013-06-25 Boston Scientific Scimed, Inc. Endoscopic instruments
US20040260337A1 (en) 2003-06-18 2004-12-23 Scimed Life Systems, Inc. Endoscopic instruments and methods of manufacture
US8216255B2 (en) * 2004-06-14 2012-07-10 Ethicon Endo-Surgery, Inc. Endoscopic clip applier actuator
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8172857B2 (en) * 2004-08-27 2012-05-08 Davol, Inc. Endoscopic tissue apposition device and method of use
BRPI0419039B8 (en) * 2004-09-10 2021-06-22 Ethicon Endo Surgery Inc surgical stapling instrument
EP1799120B1 (en) 2004-09-23 2017-11-01 Covidien LP Clip applying apparatus and ligation clip
WO2006042110A2 (en) 2004-10-08 2006-04-20 Tyco Healthcare Group, Lp Apparatus for applying surgical clips
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
ES2388673T3 (en) 2004-10-08 2012-10-17 Tyco Healthcare Group Lp An endoscopic clip or surgical clip applier
EP1816945B1 (en) * 2004-11-23 2019-08-21 PneumRx, Inc. Steerable device for accessing a target site
US7621927B2 (en) 2005-03-28 2009-11-24 Ethicon Endo-Surgery, Inc. Medical instrument with a mechanical coupling
US7740641B2 (en) 2005-04-14 2010-06-22 Ethicon Endo-Surgery, Inc. Clip applier with migrational resistance features
US7297149B2 (en) * 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
EP1879509B1 (en) * 2005-05-09 2013-01-09 EndoChoice, Inc. Ligator
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8028885B2 (en) 2006-05-19 2011-10-04 Ethicon Endo-Surgery, Inc. Electric surgical instrument with optimized power supply and drive
US10314583B2 (en) 2005-07-26 2019-06-11 Ethicon Llc Electrically self-powered surgical instrument with manual release
US9662116B2 (en) 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US9554803B2 (en) 2005-07-26 2017-01-31 Ethicon Endo-Surgery, Llc Electrically self-powered surgical instrument with manual release
US11751873B2 (en) 2005-07-26 2023-09-12 Cilag Gmbh International Electrically powered surgical instrument with manual release
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US9078650B2 (en) * 2005-11-23 2015-07-14 Arthrex, Inc. Handle system for suture driving device
JP4993911B2 (en) 2006-01-05 2012-08-08 ソニー株式会社 Information processing apparatus, imaging apparatus, information processing method, and computer program
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
USD629101S1 (en) 2006-03-24 2010-12-14 Tyco Healthcare Group Lp Surgical clip applier
USD625009S1 (en) 2006-03-24 2010-10-05 Tyco Healthcare Group Lp Surgical clip applier
JP5148598B2 (en) 2006-05-03 2013-02-20 ラプトール リッジ, エルエルシー Tissue closure system and method
KR100764740B1 (en) * 2006-05-16 2007-10-08 삼성전자주식회사 Flash memory device and high voltage generator for the same
EP3181063B1 (en) 2006-05-19 2019-09-11 Ethicon Endo-Surgery, Inc. Surgical device
AU2013211550B2 (en) * 2006-05-19 2017-02-02 Ethicon Endo-Surgery, Inc. Electrical surgical instrument
EP2486868A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Method of creating a mechanical force switch for a medical device
US8409244B2 (en) * 2007-04-16 2013-04-02 Intuitive Surgical Operations, Inc. Tool with end effector force limiter
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
ATE440549T1 (en) * 2006-09-08 2009-09-15 Ethicon Endo Surgery Inc SURGICAL INSTRUMENT AND ACTUATING DEVICE FOR TRANSMITTING MOTION THEREFOR
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
US9017345B2 (en) 2006-10-06 2015-04-28 Covidien Lp Coil fastener applier with flexible shaft
EP2314232B1 (en) 2006-10-17 2015-03-25 Covidien LP Apparatus for applying surgical clips
CA2671030C (en) 2006-11-30 2013-10-08 Wilson-Cook Medical, Inc. Visceral anchors for purse-string closure of perforations
US7976458B2 (en) 2006-12-05 2011-07-12 Ethicon Endo-Surgery, Inc. Independent articulating accessory channel
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8007432B2 (en) 2007-01-26 2011-08-30 Ethicon Endo-Surgery, Inc. Endoscopic accessory control mechanism
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US7815662B2 (en) * 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US20090001130A1 (en) 2007-03-15 2009-01-01 Hess Christopher J Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets
CN101641051B (en) 2007-03-26 2011-11-23 Tyco医疗健康集团 Endoscopic surgical clip applier
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
EP2671519B1 (en) 2007-04-11 2014-12-17 Covidien LP Surgical clip applier
US7708182B2 (en) 2007-04-17 2010-05-04 Tyco Healthcare Group Lp Flexible endoluminal surgical instrument
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US8740937B2 (en) * 2007-05-31 2014-06-03 Cook Medical Technologies Llc Suture lock
US20080300461A1 (en) * 2007-05-31 2008-12-04 Ethicon Endo-Surgery, Inc. Endoscopic Device
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
WO2009002496A1 (en) * 2007-06-25 2008-12-31 Tornier Double row fixation system, medial row anchor placement system
CN101873834B (en) * 2007-06-29 2012-12-05 伊西康内外科公司 Washer for use with a surgical stapling instrument
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US20100130990A1 (en) * 2007-07-03 2010-05-27 Saliman Justin D Methods of suturing and repairing tissue using a continuous suture passer device
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US20110130773A1 (en) * 2007-07-03 2011-06-02 Saliman Justin D Methods for continuous suture passing
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
US8663253B2 (en) 2007-07-03 2014-03-04 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US20090012538A1 (en) * 2007-07-03 2009-01-08 Justin Saliman Methods and devices for continuous suture passing
US9125552B2 (en) * 2007-07-31 2015-09-08 Ethicon Endo-Surgery, Inc. Optical scanning module and means for attaching the module to medical instruments for introducing the module into the anatomy
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
WO2009061504A1 (en) * 2007-11-05 2009-05-14 Revolutionary Surgical Device, Llc Suture passing instrument and method
US7488296B1 (en) * 2007-11-15 2009-02-10 Van Andel James A Multifunctional actuator rod and handle for pushing a driver cable of a biopsy grasping instrument
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
US8287469B2 (en) 2008-01-09 2012-10-16 Ethicon Endo-Surgery, Inc. Articulating surgical device and method of use
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
JP5410110B2 (en) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Surgical cutting / fixing instrument with RF electrode
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US20090206139A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
WO2009132111A1 (en) * 2008-04-23 2009-10-29 Wilson-Cook Medical Inc. Tacking device
US8147502B2 (en) * 2008-05-01 2012-04-03 Ethicon Endo-Surgery, Inc. Gastric coil manipulator
US20090287236A1 (en) * 2008-05-16 2009-11-19 Ethicon Endo-Surgery, Inc. Endoscopic rotary access needle
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8771260B2 (en) * 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8357170B2 (en) * 2008-07-09 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for placing occlusion fasteners
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
JP2012500098A (en) * 2008-08-19 2012-01-05 ウィルソン−クック・メディカル・インコーポレーテッド Instrument for excision of lymph nodes or attachment to tissue during transluminal procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8056565B2 (en) 2008-08-25 2011-11-15 Tyco Healthcare Group Lp Surgical clip applier and method of assembly
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8764768B2 (en) * 2008-08-29 2014-07-01 Cook Medical Technologies Llc Stapling device for closing perforations
US8585717B2 (en) 2008-08-29 2013-11-19 Covidien Lp Single stroke endoscopic surgical clip applier
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8192461B2 (en) * 2008-09-11 2012-06-05 Cook Medical Technologies Llc Methods for facilitating closure of a bodily opening using one or more tacking devices
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
WO2010077608A1 (en) * 2008-12-09 2010-07-08 Wilson-Cook Medical Inc. Apparatus and methods for controlled release of tacking devices
US8500760B2 (en) 2008-12-09 2013-08-06 Cook Medical Technologies Llc Retractable tacking device
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
WO2010080386A2 (en) * 2008-12-19 2010-07-15 Wilson-Cook Medical Inc. Clip devices and methods of delivery and deployment
EP2375997B1 (en) * 2008-12-19 2013-06-19 Cook Medical Technologies LLC Variable thickness tacking devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
CN102341048A (en) 2009-02-06 2012-02-01 伊西康内外科公司 Driven surgical stapler improvements
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
WO2010115072A1 (en) 2009-04-03 2010-10-07 Wilson-Cook Medical, Inc. Tissue anchors and medical devices for rapid deployment of tissue anchors
WO2010124129A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
US8454630B2 (en) * 2009-04-29 2013-06-04 Cook Medical Technologies Llc Endoscopic clipping device
JP2012527970A (en) * 2009-05-28 2012-11-12 クック メディカル テクノロジーズ エルエルシー Hail-fastening device and hail-fastening device deployment method
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US8734469B2 (en) 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods
WO2011057245A2 (en) 2009-11-09 2011-05-12 Suturepro Technologies, Inc. Devices, systems and methods for meniscus repair
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8545519B2 (en) 2009-12-22 2013-10-01 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
US10010336B2 (en) 2009-12-22 2018-07-03 Cook Medical Technologies, Inc. Medical devices with detachable pivotable jaws
EP3441015B1 (en) * 2009-12-22 2020-09-16 Cook Medical Technologies LLC Medical devices with detachable pivotable jaws
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
EP2528531A4 (en) * 2010-01-27 2017-04-12 Carefusion 2200, Inc. Overforce mechanism
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8403945B2 (en) * 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US10136898B2 (en) 2010-03-09 2018-11-27 Teleflex Medical Incorporated Narrow profile surgical ligation clip
US8394120B2 (en) 2010-05-04 2013-03-12 Jacek Krzyzanowski End effector assembly with increased clamping force for a surgical instrument
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US8777004B2 (en) 2010-09-30 2014-07-15 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9044228B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
CN106073843B (en) 2010-10-11 2019-05-17 库克医学技术有限责任公司 Medical Devices with detachable pivotable jaws
JP5602953B2 (en) 2010-10-11 2014-10-08 クック メディカル テクノロジーズ エルエルシー Medical device with removable and pivotable jaws
EP3205287B1 (en) 2010-10-11 2018-11-21 Cook Medical Technologies LLC Medical devices with detachable pivotable jaws
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
US8690902B2 (en) 2010-11-04 2014-04-08 Ethicon Endo-Surgery, Inc. Method of enlarging an anastomosis fistula into a larger anastomosis
CN103298416B (en) 2010-12-15 2015-11-25 库克医学技术有限责任公司 With detachable can the medical treatment device of pivotable jaw
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
JP2014511218A (en) 2011-02-01 2014-05-15 セント・ジュード・メディカル,インコーポレイテッド Apparatus and method for heart valve repair
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
CN103052349B (en) * 2011-03-08 2015-04-29 奥林巴斯医疗株式会社 Insertion device
US8858590B2 (en) 2011-03-14 2014-10-14 Ethicon Endo-Surgery, Inc. Tissue manipulation devices
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
BR112013027794B1 (en) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc CLAMP CARTRIDGE SET
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
KR101129809B1 (en) 2011-05-26 2012-03-26 주식회사 케이제이엘테크놀러지 Hemo clip and endoscopic treatment device useing the same
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9271728B2 (en) * 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
EP2755576B1 (en) * 2011-09-15 2019-05-22 Teleflex Medical Incorporated Automatic surgical ligation clip applier
JP5848827B2 (en) 2011-09-15 2016-01-27 テレフレックス メディカル インコーポレイテッドTeleflex Medical Incorporated Manual surgical ligation clip applier
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics Suture passers adapted for use in constrained regions
EP2768418B1 (en) * 2011-10-19 2017-07-19 Ethicon Endo-Surgery, Inc. Clip applier adapted for use with a surgical robot
EP2773257B1 (en) * 2011-10-31 2018-12-19 Boston Scientific Scimed, Inc. An endoscopic instrument having a deflectable distal tool
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US9610082B2 (en) 2012-01-25 2017-04-04 St. Jude Medical, Inc. Apparatus and method for heart valve repair
WO2013112887A1 (en) 2012-01-25 2013-08-01 Boston Scientific Scimed, Inc. Endoscopic instrument having movable distal tool
WO2013112797A2 (en) 2012-01-25 2013-08-01 St. Jude Medical, Inc. Apparatus and method for heart valve repair
ES2631652T3 (en) 2012-02-02 2017-09-01 St. Jude Medical, Cardiology Division, Inc. Device for repairing a heart valve
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
WO2013130658A1 (en) * 2012-02-27 2013-09-06 Kamler Jan Banding apparatus and method of use
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2014143258A (en) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
CN104334098B (en) 2012-03-28 2017-03-22 伊西康内外科公司 Tissue thickness compensator comprising capsules defining a low pressure environment
MX353040B (en) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Retainer assembly including a tissue thickness compensator.
US8968311B2 (en) * 2012-05-01 2015-03-03 Covidien Lp Surgical instrument with stamped double-flag jaws and actuation mechanism
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
JP6290201B2 (en) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Lockout for empty clip cartridge
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
CA2880253C (en) 2012-08-01 2020-07-28 Avenu Medical, Inc. Systems and methods for percutaneous intravascular access for arteriovenous fistula
US9125653B2 (en) 2012-08-02 2015-09-08 St. Jude Medical, Cardiology Division, Inc. Flexible nosecone for percutaneous device
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US10105219B2 (en) 2012-08-02 2018-10-23 St. Jude Medical, Cardiology Division, Inc. Mitral valve leaflet clip
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9254141B2 (en) 2012-08-02 2016-02-09 St. Jude Medical, Inc. Apparatus and method for heart valve repair
US9662205B2 (en) 2012-08-02 2017-05-30 St. Jude Medical, Cardiology Division, Inc. Apparatus and method for heart valve repair
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9700310B2 (en) 2013-08-23 2017-07-11 Ethicon Llc Firing member retraction devices for powered surgical instruments
US8974474B2 (en) 2012-09-14 2015-03-10 Alpine Medical Devices, Llc Ligator and method of use
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9066710B2 (en) * 2012-10-19 2015-06-30 St. Jude Medical, Cardiology Division, Inc. Apparatus and method for heart valve repair
DE102012110660A1 (en) * 2012-11-07 2014-05-22 Aesculap Ag Electrosurgical instrument with clamping pressure control for electrode industries
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
JP6345707B2 (en) 2013-03-01 2018-06-20 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Surgical instrument with soft stop
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
JP6382235B2 (en) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Articulatable surgical instrument with a conductive path for signal communication
US9642706B2 (en) 2013-03-11 2017-05-09 St. Jude Medical, Llc Apparatus and method for heart valve repair
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9375550B2 (en) 2013-03-15 2016-06-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter actuators providing mechanical advantage
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
CN104224273A (en) * 2013-06-07 2014-12-24 上海理工大学 In-vivo closing device with continuous-projecting metal clips and based on endoscope
JP6204085B2 (en) * 2013-06-27 2017-09-27 オリンパス株式会社 Endoscopic treatment tool and endoscope system
US9629633B2 (en) * 2013-07-09 2017-04-25 Covidien Lp Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
MX369362B (en) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Firing member retraction devices for powered surgical instruments.
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9717485B1 (en) 2013-10-09 2017-08-01 Daniel Glenn Doerr Ergonomic multi-functional handle for use with a medical instrument
US10058311B1 (en) 2013-10-09 2018-08-28 Rogelio A. Insignares Ergonomic multi-functional handle for use with a medical instrument
US10485545B2 (en) 2013-11-19 2019-11-26 Datascope Corp. Fastener applicator with interlock
KR101511086B1 (en) 2013-12-02 2015-04-10 국립암센터 Closed loop clip Hemostic apparatus with built-in inner forceps
EP2878274A1 (en) 2013-12-02 2015-06-03 Ethicon Endo-Surgery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
WO2015095133A1 (en) 2013-12-16 2015-06-25 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices having pre-tied knots and methods
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9968354B2 (en) 2013-12-23 2018-05-15 Ethicon Llc Surgical staples and methods for making the same
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US10524824B2 (en) * 2014-01-12 2020-01-07 Upstream Peripheral Technologies Ltd. Active obstruction crossing device
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
JP6462004B2 (en) 2014-02-24 2019-01-30 エシコン エルエルシー Fastening system with launcher lockout
US20140166725A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple.
US20150272571A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Surgical instrument utilizing sensor adaptation
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
CN204951031U (en) 2014-04-08 2016-01-13 赛特里克斯整形公司 Ware device is worn to draw by suture
US10299792B2 (en) 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
CN106456158B (en) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 Fastener cartridge including non-uniform fastener
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
JP6636452B2 (en) 2014-04-16 2020-01-29 エシコン エルエルシーEthicon LLC Fastener cartridge including extension having different configurations
BR112016023807B1 (en) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
WO2016011594A1 (en) * 2014-07-22 2016-01-28 Covidien Lp Surgical fastener applying apparatus, kits and methods for endoscopic procedures
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX2017003960A (en) 2014-09-26 2017-12-04 Ethicon Llc Surgical stapling buttresses and adjunct materials.
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
WO2016075992A1 (en) * 2014-11-12 2016-05-19 オリンパス株式会社 Dialing unit and introduction device
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
BR112017012996B1 (en) 2014-12-18 2022-11-08 Ethicon Llc SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
WO2016112509A1 (en) 2015-01-15 2016-07-21 Covidien Lp Endoscopic reposable surgical clip applier
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
EP3253314B1 (en) * 2015-02-06 2022-01-19 Covidien LP Controlling jaw forces with spring assembly
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US20160249910A1 (en) 2015-02-27 2016-09-01 Ethicon Endo-Surgery, Llc Surgical charging system that charges and/or conditions one or more batteries
US10064642B2 (en) * 2015-03-04 2018-09-04 Covidien Lp Surgical instrument for dissecting tissue
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
JP2020121162A (en) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
EP3273867B1 (en) 2015-03-26 2021-11-03 United States Endoscopy Group, Inc. Endoscopic grasping device
USD779668S1 (en) 2015-03-26 2017-02-21 United States Endoscopy Group, Inc. Grasper
USD758581S1 (en) 2015-03-26 2016-06-07 United States Endoscopy Group, Inc. Grasper
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US9918780B2 (en) 2015-05-22 2018-03-20 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US9918779B2 (en) * 2015-05-22 2018-03-20 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
CA3029355A1 (en) * 2015-05-22 2016-11-22 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US9918781B2 (en) 2015-05-22 2018-03-20 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10828084B2 (en) 2015-05-22 2020-11-10 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10624662B2 (en) 2015-05-22 2020-04-21 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
WO2017013942A1 (en) * 2015-07-17 2017-01-26 オリンパス株式会社 Manipulator
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10213203B2 (en) 2015-08-26 2019-02-26 Ethicon Llc Staple cartridge assembly without a bottom cover
CN108348233B (en) 2015-08-26 2021-05-07 伊西康有限责任公司 Surgical staple strip for allowing changing staple characteristics and achieving easy cartridge loading
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
MX2022006191A (en) 2015-09-02 2022-06-16 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples.
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
CN105434002B (en) * 2015-10-16 2017-11-17 逸思(苏州)医疗科技有限公司 The surgical instruments that a kind of actuator can curve
GB2543509B (en) * 2015-10-19 2020-10-14 Creo Medical Ltd Electrosurgical instrument
US10702279B2 (en) 2015-11-03 2020-07-07 Covidien Lp Endoscopic surgical clip applier
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
WO2017079895A1 (en) 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
EP3373826A4 (en) 2015-11-10 2019-11-06 Covidien LP Endoscopic reposable surgical clip applier
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
EP3402417A4 (en) 2016-01-11 2019-12-04 Covidien LP Endoscopic reposable surgical clip applier
CA3011262A1 (en) 2016-01-18 2017-07-27 Covidien Lp Endoscopic surgical clip applier
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
JP6911054B2 (en) 2016-02-09 2021-07-28 エシコン エルエルシーEthicon LLC Surgical instruments with asymmetric joint composition
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10531874B2 (en) 2016-04-01 2020-01-14 Ethicon Llc Surgical cutting and stapling end effector with anvil concentric drive member
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11045191B2 (en) 2016-04-01 2021-06-29 Cilag Gmbh International Method for operating a surgical stapling system
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
JP6957532B2 (en) 2016-06-24 2021-11-02 エシコン エルエルシーEthicon LLC Staple cartridges including wire staples and punched staples
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
WO2018027788A1 (en) 2016-08-11 2018-02-15 Covidien Lp Endoscopic surgical clip applier and clip applying systems
KR20180019375A (en) * 2016-08-16 2018-02-26 서민수 Condition check and management system and the method for emotional laborer
AU2016420481A1 (en) 2016-08-25 2019-01-17 Covidien Lp Endoscopic surgical clip applier and clip applying systems
CN106264562B (en) * 2016-08-30 2023-12-12 苏州施莱医疗器械有限公司 Retracting type head pressing type disposable hemostix
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10660651B2 (en) * 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US11272947B2 (en) 2016-11-17 2022-03-15 Covidien Lp Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures
US11007003B2 (en) 2016-11-17 2021-05-18 Covidien Lp Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10639093B2 (en) 2016-12-01 2020-05-05 Covidien Lp Surgical instrument including a wire guide
JP2020501779A (en) 2016-12-21 2020-01-23 エシコン エルエルシーEthicon LLC Surgical stapling system
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US10980536B2 (en) 2016-12-21 2021-04-20 Ethicon Llc No-cartridge and spent cartridge lockout arrangements for surgical staplers
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
JP6983893B2 (en) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC Lockout configuration for surgical end effectors and replaceable tool assemblies
US20180168647A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments having end effectors with positive opening features
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US20180168608A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument system comprising an end effector lockout and a firing assembly lockout
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
WO2018141110A1 (en) 2017-02-06 2018-08-09 Covidien Lp Surgical clip applier with user feedback feature
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US10492852B2 (en) 2017-02-27 2019-12-03 Covidien Lp Wire guide for surgical instruments and surgical instruments including a wire guide
CN108567462B (en) * 2017-03-07 2021-05-11 祝建红 Hemostatic clamp
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
WO2018211648A1 (en) 2017-05-18 2018-11-22 オリンパス株式会社 Treatment tool
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US20190000461A1 (en) 2017-06-28 2019-01-03 Ethicon Llc Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10863992B2 (en) 2017-08-08 2020-12-15 Covidien Lp Endoscopic surgical clip applier
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US11241324B2 (en) * 2017-09-13 2022-02-08 CARDINAL HEALTH SWITZERLAND 515 GmbH Stent delivery catheter with fine thumbwheel control and fast crank handle
US10835260B2 (en) 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10743887B2 (en) 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10849630B2 (en) 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
US11241275B2 (en) 2018-03-21 2022-02-08 Covidien Lp Energy-based surgical instrument having multiple operational configurations
WO2019191271A1 (en) 2018-03-28 2019-10-03 Datascope Corp. Device for atrial appendage exclusion
US11123133B2 (en) 2018-04-24 2021-09-21 Covidien Lp Method of reprocessing a surgical instrument
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US11559663B2 (en) 2018-06-05 2023-01-24 Medtronic Vascular, Inc. Catheter including slidable push grip
US11911573B2 (en) 2018-06-05 2024-02-27 Medtronic Vascular, Inc. Medical catheter
EP3801724A1 (en) 2018-06-05 2021-04-14 Medtronic Vascular Inc. Medical catheter
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11259887B2 (en) 2018-08-10 2022-03-01 Covidien Lp Feedback mechanisms for handle assemblies
US11246601B2 (en) 2018-08-13 2022-02-15 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11253267B2 (en) 2018-08-13 2022-02-22 Covidien Lp Friction reduction mechanisms for handle assemblies
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11033256B2 (en) 2018-08-13 2021-06-15 Covidien Lp Linkage assembly for reusable surgical handle assemblies
US11219463B2 (en) 2018-08-13 2022-01-11 Covidien Lp Bilateral spring for surgical instruments and surgical instruments including the same
CN108969043A (en) * 2018-08-17 2018-12-11 刘建强 Releasable alimentary canal Tncision closing device
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
CN109106425B (en) * 2018-09-17 2021-02-05 南京市第一医院 Forceps for taking out articles from blood vessel
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US11090052B2 (en) 2018-10-31 2021-08-17 Cilag Gmbh International Surgical clip applier with passive jaw closure
US11026710B2 (en) 2019-01-10 2021-06-08 Covidien Lp Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11259864B2 (en) 2019-06-06 2022-03-01 Covidien Lp Surgical instrument with enhanced trigger
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
CN110537945A (en) * 2019-09-20 2019-12-06 沈阳术驰医疗科技有限公司 Minimally invasive surgical instrument
CN110868614B (en) * 2019-11-14 2021-09-28 北京京航计算通讯研究所 SPICE protocol-based difference image display system in video card transparent transmission environment
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US11877790B2 (en) 2020-01-07 2024-01-23 Covidien Lp Surgical forceps having jaw members
US11723669B2 (en) 2020-01-08 2023-08-15 Covidien Lp Clip applier with clip cartridge interface
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
US20220031351A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators
US11925406B2 (en) 2020-09-14 2024-03-12 Covidien Lp End effector assemblies for surgical instruments
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US20220378424A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
CN116819706A (en) * 2023-07-04 2023-09-29 宏安集团有限公司 Flexible changeable optical fiber ribbon cable
CN117137581B (en) * 2023-10-26 2024-02-02 桐庐优视医疗器械有限公司 Anti-breaking uterine cavity forceps

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5725537A (en) * 1992-10-09 1998-03-10 United States Surgical Corporation Method of performing a vessel anastomosis using a surgical clip applier
US5865724A (en) * 1996-01-11 1999-02-02 Symbiosis Corp. Flexible microsurgical instruments incorporating a sheath having tactile and visual position indicators
US20030191478A1 (en) * 2001-06-25 2003-10-09 Inscope Development, Llc Surgical tool having a distal ratchet mechanism

Family Cites Families (122)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US268632A (en) * 1882-12-05 Suture-clamp
US266632A (en) * 1882-10-31 Harvester-knife
US1396962A (en) 1919-11-05 1921-11-15 Offset Directoplate Company Vacuum-pressure frame
JPS552966Y2 (en) * 1974-02-08 1980-01-24
CA1148827A (en) 1979-06-18 1983-06-28 Ethicon, Inc. Plastic ligating clips
US4418694A (en) * 1979-06-18 1983-12-06 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips
AR218795A1 (en) * 1979-12-11 1980-06-30 Derechinsky V CLIP-HOLDING INSTRUMENT FOR THE "CLIPPING" OF BLOOD GLASSES
US4444987A (en) * 1981-09-01 1984-04-24 U.S. Steel Corporation Method of removal of COS from propylene
US4476865A (en) * 1982-02-12 1984-10-16 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips
US4492232A (en) * 1982-09-30 1985-01-08 United States Surgical Corporation Surgical clip applying apparatus having fixed jaws
US4512345A (en) * 1982-09-30 1985-04-23 United States Surgical Corporation Surgical clip applying apparatus, and clips and clip train for use therein
US4444187A (en) 1982-12-09 1984-04-24 Metatech Corporation Miniature surgical clip for clamping small blood vessels in brain surgery and the like
SE441643B (en) 1983-02-08 1985-10-28 Innova Ab suturing instrument
US4462395A (en) * 1983-03-02 1984-07-31 Johnson Lanny L Arthroscopic ligamentous and capsular fixation system
US4556058A (en) * 1983-08-17 1985-12-03 United States Surgical Corporation Apparatus for ligation and division with fixed jaws
US4572181A (en) * 1984-03-15 1986-02-25 Martin Mattler Clamping/cutting apparatus
US4741336A (en) 1984-07-16 1988-05-03 Ethicon, Inc. Shaped staples and slotted receivers (case VII)
US5366459A (en) * 1987-05-14 1994-11-22 Inbae Yoon Surgical clip and clip application procedures
GB2226245A (en) * 1988-11-18 1990-06-27 Alan Crockard Endoscope, remote actuator and aneurysm clip applicator.
ES2009709A6 (en) * 1989-01-24 1989-10-01 Villar Pascual Jose Antonio Single-use safety syringe
US5009661A (en) * 1989-04-24 1991-04-23 Michelson Gary K Protective mechanism for surgical rongeurs
JPH0352245U (en) * 1989-09-29 1991-05-21
US5049153A (en) * 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US5156609A (en) * 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5222961A (en) * 1989-12-26 1993-06-29 Naomi Nakao Endoscopic stapling device and related staple
US5482054A (en) * 1990-05-10 1996-01-09 Symbiosis Corporation Edoscopic biopsy forceps devices with selective bipolar cautery
US5207692A (en) * 1990-07-30 1993-05-04 Codman & Shurtleff, Inc. Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism
US5170800A (en) * 1991-04-04 1992-12-15 Symbiosis Corporation Hermaphroditic endoscopic claw extractors
US5171249A (en) * 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
US5354309A (en) * 1991-10-11 1994-10-11 Angiomed Ag Apparatus for widening a stenosis in a body cavity
US5163945A (en) * 1991-10-18 1992-11-17 Ethicon, Inc. Surgical clip applier
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5383880A (en) * 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) * 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5271543A (en) * 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5219353A (en) 1992-02-28 1993-06-15 Garvey Iii Thomas Q Surgical endoclip
CA2094463A1 (en) 1992-04-28 1993-10-29 Claude Vidal Vessel clips
US5484451A (en) * 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
DE4230102C2 (en) 1992-09-09 1994-08-04 Kernforschungsz Karlsruhe Clip for use in surgery and clip applicator
US5431323A (en) * 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5330442A (en) * 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
US5662662A (en) * 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5464416A (en) 1992-11-10 1995-11-07 Ethicon, Inc. Ligating clip
US5460168A (en) * 1992-12-25 1995-10-24 Olympus Optical Co., Ltd. Endoscope cover assembly and cover-system endoscope
US5632753A (en) 1992-12-31 1997-05-27 Loeser; Edward A. Surgical procedures
US5403326A (en) 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5312426A (en) 1993-03-12 1994-05-17 Mizuho Ika Kogyo Kabushiki Kaisha Surgical clip
EP0622048B1 (en) * 1993-04-27 1997-05-21 American Cyanamid Company Automatic laparoscopic ligation clip applicator
US5439468A (en) * 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
US5352229A (en) * 1993-05-12 1994-10-04 Marlowe Goble E Arbor press staple and washer and method for its use
US5792165A (en) * 1993-07-21 1998-08-11 Charles H. Klieman Endoscopic instrument with detachable end effector
US5582617A (en) * 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5858018A (en) * 1993-08-25 1999-01-12 Apollo Camera, Llc Low profile tool for applying spring action ligation clips
WO1995007662A1 (en) 1993-09-14 1995-03-23 Microsurge, Inc. Endoscopic surgical instrument with guided jaws and ratchet control
US5681330A (en) * 1994-03-02 1997-10-28 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
CA2143560C (en) 1994-03-02 2007-01-16 Mark Fogelberg Sterile occlusion fasteners and instrument and method for their placement
DE4411099C2 (en) * 1994-03-30 1998-07-30 Wolf Gmbh Richard Surgical instrument
US5425740A (en) 1994-05-17 1995-06-20 Hutchinson, Jr.; William B. Endoscopic hernia repair clip and method
US5833695A (en) * 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
DE4434864C2 (en) * 1994-09-29 1997-06-19 United States Surgical Corp Surgical staple applicator with interchangeable staple magazine
US5562694A (en) * 1994-10-11 1996-10-08 Lasersurge, Inc. Morcellator
CN1163558A (en) * 1994-10-11 1997-10-29 查尔斯·H·克利曼 Endoscopic instrument with detachable end effector
JPH08126648A (en) * 1994-11-02 1996-05-21 Olympus Optical Co Ltd Treatment instrument for endoscope
US5487746A (en) 1994-11-23 1996-01-30 Yu; George W. Surgical clip having a longitudinal opening through which clamped tissue protrudes
US5632432A (en) * 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5695505A (en) * 1995-03-09 1997-12-09 Yoon; Inbae Multifunctional spring clips and cartridges and applicators therefor
AU5370396A (en) 1995-03-24 1996-10-16 Life Resuscitation Technologies, Inc. Vessel and duct salvage device and method
US5683405A (en) * 1995-08-25 1997-11-04 Research Medical Inc. Vascular occluder
US5722421A (en) * 1995-09-15 1998-03-03 Symbiosis Corporation Clevis having deflection limiting stops for use in an endoscopic biopsy forceps instrument
US5707392A (en) 1995-09-29 1998-01-13 Symbiosis Corporation Hermaphroditic stamped forceps jaw for disposable endoscopic biopsy forceps and method of making the same
US5700270A (en) * 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5782753A (en) * 1995-10-20 1998-07-21 United States Surgical Corporation Surgical retractor
US6015417A (en) * 1996-01-25 2000-01-18 Reynolds, Jr.; Walker Surgical fastener
US6099537A (en) * 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
JP3776529B2 (en) * 1996-02-29 2006-05-17 オリンパス株式会社 Clip device
IL126331A (en) * 1996-03-27 2003-02-12 Michael Hersh Application of multi-media technology to psychological and educational assessment tools
DE69736174T2 (en) * 1996-04-19 2007-05-16 Applied Medical Resources Corp., Laguna Hills DEVICE FOR MOUNTING HOLDING CLIPS
US6149660A (en) * 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US5769857A (en) 1996-06-11 1998-06-23 Mgf Group Inc. Ligating clip applier
US5769587A (en) * 1996-11-05 1998-06-23 Whirlwind Manufacturing, Ltd. Bale handling apparatus
US6331165B1 (en) * 1996-11-25 2001-12-18 Scimed Life Systems, Inc. Biopsy instrument having irrigation and aspiration capabilities
US5897507A (en) * 1996-11-25 1999-04-27 Symbiosis Corporation Biopsy forceps instrument having irrigation and aspiration capabilities
US5947999A (en) 1996-12-03 1999-09-07 Groiso; Jorge A. Surgical clip and method
US5921993A (en) 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US5941439A (en) 1997-05-14 1999-08-24 Mitek Surgical Products, Inc. Applicator and method for deploying a surgical fastener in tissue
WO1999000059A1 (en) * 1997-06-27 1999-01-07 The Trustees Of Columbia University In The City Of New York Method and apparatus for circulatory valve repair
US6086600A (en) * 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
DE19752332C1 (en) * 1997-11-26 1999-04-08 Aesculap Ag & Co Kg Surgical clip applicator for blood vessels
US6233450B1 (en) * 1997-12-02 2001-05-15 Nokia Mobile Phones Ltd. Calling number identification for a radiotelephone operating within a public or autonomous system
JP2002516696A (en) 1998-05-29 2002-06-11 バイ−パス・インク. Methods and devices for vascular surgery
US5906630A (en) * 1998-06-30 1999-05-25 Boston Scientific Limited Eccentric surgical forceps
US6228098B1 (en) * 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
US6352503B1 (en) * 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
EP0997435B1 (en) * 1998-10-28 2007-01-24 Alcan Technology & Management AG Process for the manufacture of coarse aluminium hydroxide
EP2055244B1 (en) * 1998-12-31 2012-02-01 Kensey Nash Corporation Tissue fastening devices
US6159223A (en) * 1999-01-26 2000-12-12 Endoscopic Concepts, Inc. Surgical clip applicator
US6350269B1 (en) * 1999-03-01 2002-02-26 Apollo Camera, L.L.C. Ligation clip and clip applier
US6494888B1 (en) * 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
US6228095B1 (en) * 1999-10-14 2001-05-08 Core Dynamics, Inc. Specimen retrieval device
US6319257B1 (en) * 1999-12-20 2001-11-20 Kinamed, Inc. Inserter assembly
US6533157B1 (en) * 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6648898B1 (en) * 2000-03-02 2003-11-18 Cardiothoracic Systems, Inc. Clip applying apparatuses and methods for vascular ligation
US6423079B1 (en) 2000-03-07 2002-07-23 Blake, Iii Joseph W Repeating multi-clip applier
US6544271B1 (en) 2000-07-18 2003-04-08 Scimed Life Systems, Inc. Device for full-thickness resectioning of an organ
US20020138086A1 (en) * 2000-12-06 2002-09-26 Robert Sixto Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease (GERD)
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
JP4130584B2 (en) * 2001-01-24 2008-08-06 タイコ ヘルスケア グループ リミテッド パートナーシップ Anastomosis instrument and method for performing anastomosis
JP2002219821A (en) * 2001-01-26 2002-08-06 Kyocera Corp Optical printer head
JP4578708B2 (en) * 2001-03-26 2010-11-10 オリンパス株式会社 Biological tissue clip device
US6824547B2 (en) * 2001-07-13 2004-11-30 Pilling Weck Incorporated Endoscopic clip applier and method
US7094245B2 (en) * 2001-10-05 2006-08-22 Scimed Life Systems, Inc. Device and method for through the scope endoscopic hemostatic clipping
US7331968B2 (en) 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
US7357805B2 (en) * 2001-12-13 2008-04-15 Sumitomo Bakelite Company Clip device for endoscope and clip for endoscope for use therein
US7052511B2 (en) * 2002-04-04 2006-05-30 Scimed Life Systems, Inc. Delivery system and method for deployment of foreshortening endoluminal devices
AU2003231752A1 (en) * 2002-04-22 2003-11-03 Tyco Healthcare Group, Lp Tack and tack applier
US7041052B2 (en) 2002-06-13 2006-05-09 Usgi Medical Inc. Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US6745979B1 (en) * 2002-10-22 2004-06-08 Zhuo Chen Spacecraft and aerospace plane having scissors wings
US7052504B2 (en) * 2002-11-19 2006-05-30 Teleflex Incorporated Automated-feed surgical clip applier and related methods
US7105000B2 (en) * 2003-03-25 2006-09-12 Ethicon Endo-Surgery, Inc. Surgical jaw assembly with increased mechanical advantage
US6905057B2 (en) * 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US8216255B2 (en) * 2004-06-14 2012-07-10 Ethicon Endo-Surgery, Inc. Endoscopic clip applier actuator

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5725537A (en) * 1992-10-09 1998-03-10 United States Surgical Corporation Method of performing a vessel anastomosis using a surgical clip applier
US5865724A (en) * 1996-01-11 1999-02-02 Symbiosis Corp. Flexible microsurgical instruments incorporating a sheath having tactile and visual position indicators
US20030191478A1 (en) * 2001-06-25 2003-10-09 Inscope Development, Llc Surgical tool having a distal ratchet mechanism

Also Published As

Publication number Publication date
US20050277951A1 (en) 2005-12-15
US20050277952A1 (en) 2005-12-15
DE602005018990D1 (en) 2010-03-11
AU2005202120B2 (en) 2011-09-08
CN1720856A (en) 2006-01-18
HK1082170A1 (en) 2006-06-02
EP1607052A2 (en) 2005-12-21
CA2509915C (en) 2013-09-03
US8211119B2 (en) 2012-07-03
JP4948788B2 (en) 2012-06-06
DE602005017982D1 (en) 2010-01-14
CA2509915A1 (en) 2005-12-14
AU2005202120A1 (en) 2006-01-05
EP1607054A2 (en) 2005-12-21
AU2005202118A1 (en) 2006-01-05
CA2509389C (en) 2011-11-15
JP2006000641A (en) 2006-01-05
JP2006000638A (en) 2006-01-05
US20050090837A1 (en) 2005-04-28
CN1720870B (en) 2011-05-18
DE602005019655D1 (en) 2010-04-15
CA2509782A1 (en) 2005-12-14
US7862503B2 (en) 2011-01-04
AU2005202119A1 (en) 2006-01-05
EP1607057A1 (en) 2005-12-21
CN100591288C (en) 2010-02-24
JP4727309B2 (en) 2011-07-20
JP2006000640A (en) 2006-01-05
HK1081833A1 (en) 2006-05-26
AU2005202140B2 (en) 2010-05-27
EP1607052A3 (en) 2006-02-22
JP2006000635A (en) 2006-01-05
EP1607056A1 (en) 2005-12-21
US20050277956A1 (en) 2005-12-15
EP2151201A1 (en) 2010-02-10
CN1714736A (en) 2006-01-04
AU2005202119B2 (en) 2010-12-23
EP1607054A3 (en) 2006-02-22
JP4732019B2 (en) 2011-07-27
CA2508865A1 (en) 2005-12-14
EP1607053A1 (en) 2005-12-21
JP2006000637A (en) 2006-01-05
CA2508865C (en) 2012-10-02
CA2509894A1 (en) 2005-12-14
AU2005202126B2 (en) 2011-03-03
DE602005017980D1 (en) 2010-01-14
CA2509614A1 (en) 2005-12-14
JP5073180B2 (en) 2012-11-14
CN100475159C (en) 2009-04-08
CA2509614C (en) 2014-04-15
AU2005202140A1 (en) 2006-01-05
JP2006000634A (en) 2006-01-05
CN1720870A (en) 2006-01-18
EP1607050A1 (en) 2005-12-21
US20080167665A1 (en) 2008-07-10
CA2509782C (en) 2013-09-24
CN100475122C (en) 2009-04-08
EP2151201B1 (en) 2011-11-30
EP1607050B1 (en) 2009-12-02
US20080045786A1 (en) 2008-02-21
US7367939B2 (en) 2008-05-06
AU2005202124B2 (en) 2010-07-29
CN1720868A (en) 2006-01-18
US20080051808A1 (en) 2008-02-28
CA2509725C (en) 2013-01-22
DE602005019345D1 (en) 2010-04-01
CA2509389A1 (en) 2005-12-14
CN1714735A (en) 2006-01-04
US20050049616A1 (en) 2005-03-03
CN1720869A (en) 2006-01-18
JP2006000639A (en) 2006-01-05
EP1607053B1 (en) 2009-12-02
AU2005202125B2 (en) 2010-05-13
AU2005202140C1 (en) 2010-10-28
EP1607057B1 (en) 2010-01-20
CA2509894C (en) 2013-10-08
JP4732020B2 (en) 2011-07-27
AU2005202126A1 (en) 2006-01-05
US20050277955A1 (en) 2005-12-15
US7331968B2 (en) 2008-02-19
CN1720867A (en) 2006-01-18
AU2005202124A1 (en) 2006-01-05
CN100450447C (en) 2009-01-14
CA2509725A1 (en) 2005-12-14
JP4954501B2 (en) 2012-06-20
EP1607055A1 (en) 2005-12-21
HK1082171A1 (en) 2006-06-02
US20050277953A1 (en) 2005-12-15
HK1081834A1 (en) 2006-05-26
EP1607054B1 (en) 2009-11-18
DE602005017703D1 (en) 2009-12-31
EP1607052B1 (en) 2010-02-17
JP4749773B2 (en) 2011-08-17
EP1607055B1 (en) 2010-03-03
AU2005202118B2 (en) 2011-05-12
AU2005202125A1 (en) 2006-01-05
US7357806B2 (en) 2008-04-15
CN100515313C (en) 2009-07-22
US7223272B2 (en) 2007-05-29

Similar Documents

Publication Publication Date Title
CN100446714C (en) Clip ejector for endoscopic clip applier
CN100515314C (en) Endoscopic clip applier actuator

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
REG Reference to a national code

Ref country code: HK

Ref legal event code: DE

Ref document number: 1081833

Country of ref document: HK

C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
REG Reference to a national code

Ref country code: HK

Ref legal event code: GR

Ref document number: 1081833

Country of ref document: HK